Enterocystoplasty or Detrusor Myectomy? Comparison of Indications and Outcomes for Bladder Augmentation

Leng, Wendy W.J. de; Blalock, H. Jason; FREDRIKSSON, WILL H.; English, Sharon; McGuire, Edward J.

doi:10.1097/00005392-199903000-00003

Cited by 24 publications

(24 citation statements)

References 21 publications

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“…The level of evidence supporting this procedure is low [55]. In a retrospective study, detrusor myectomy fared less well in comparison with enterocystoplasty in terms of urodynamic and symptom improvement [58].…”

Section: Surgical Approachesmentioning

confidence: 99%

Neurogenic Detrusor Overactivity in Patients With Spinal Cord Injury: Evaluation and Management

et al. 2011

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Lower urinary tract dysfunction can have a significant impact on patients with spinal cord injury. Over the years, many treatment options have become available. This article reviews the assessment and management of neurogenic detrusor overactivity, with a particular focus on articles from the recent literature. Recent guidelines on the subject will be discussed. Management options include antimuscarinics and bladder emptying measures, botulinum toxin A, and neuromodulation in refractory cases and surgery for intractable cases. Recent and relevant publications in these areas will be summarized and discussed.

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Section: Surgical Approachesmentioning

confidence: 99%

Neurogenic Detrusor Overactivity in Patients With Spinal Cord Injury: Evaluation and Management

et al. 2011

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“…La morbidité est certes faible, 3 % de complications dans l'étude de Leng et al [4], mais de nombreuses études montrent l'absence d'efficacité à moyen et long termes aussi bien en termes de symptôme qu'en termes urodynamique (persistance en général des contractions désinhibées du détrusor) [5][6][7]. Même si quelques études montrent des résultats plus encourageants [8,9], la majorité des études sont donc décevantes à long terme.…”

Section: Dénervations Neurochirurgicalesunclassified

Traitements chirurgicaux des hyperactivités vésicales neurologiques

Peyrat

2010

Lett Med Phys Readapt

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Les traitements chirurgicaux des hyperactivités vésicales neurologiques sont réservés aux échecs des traitements médicaux, conservateurs. Le but de ces interventions est d'obtenir un réservoir vésical de bonne capacité qui se remplit à basse pression. Cela permet de diminuer les symptômes, de préserver le haut appareil urinaire et de diminuer les complications des vessies neurologiques. Plusieurs options thérapeutiques sont à décrire : les méthodes chirurgicales de dénervation vésicale, la détrusoromyomectomie, les entérocystoplasties avec ou sans dérivation urinaire continente et enfin les dérivations urinaires non continentes. Nous ne parlerons pas de la neuromodulation sacrée qui fera l'objet spécifiquement d'un article.Mots clés Hyperactivité vésicale neurologique · Traitement chirurgical · Haut appareil urinaire · Vessie neurologique · Détrusoromyomectomie · Entérocystoplastie Abstract Surgical treatment of neurogenic bladder hyperactivity is reserved for cases where conservative medical treatment has failed. The objective of such surgery is to obtain a bladder of adequate capacity, which fills at low pressure. This minimises symptoms, protects the upper urinary tract and reduces the complications of neurogenic bladder. There is a range of therapeutic options: surgical techniques for bladder denervation, detrusor myomectomy, enterocystoplasties with or without continent urinary diversion and, finally, non-continent urinary diversion procedures. We shall not discuss the technique of sacral neuromodulation, which will form the object of a separate article.

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“…Autoaugmentation has been investigated as a means of avoiding the complications associated with interposition of the bowel in the urinary tract [45][46][47]. Although early results have been promising in appropriately selected patients, autoaugmentation is not recommended in patients with poorly compliant bladders.…”

Section: Surgical Alternatives To Augmentation Cystoplastymentioning

confidence: 99%

Augmentation Cystoplasty

Smith

Kobashi

2010

Curr Bladder Dysfunct Rep

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Although more conservative measures are used as first-line treatment of patients with overactive bladder and for those with small capacity, low-compliance bladders, augmentation cystoplasty remains an essential tool for patients who fail conservative therapy. The goal of augmentation cystoplasty is to provide a low-pressure reservoir with adequate capacity while preserving urinary continence and renal function.

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Enterocystoplasty or Detrusor Myectomy? Comparison of Indications and Outcomes for Bladder Augmentation

Abstract: Detrusor myectomy is a safe, successful method of bladder augmentation for most clinical indications. Myectomy does not hinder subsequent creation of an enterocystoplasty.

Cited by 24 publications

References 21 publications

Neurogenic Detrusor Overactivity in Patients With Spinal Cord Injury: Evaluation and Management

Neurogenic Detrusor Overactivity in Patients With Spinal Cord Injury: Evaluation and Management

Traitements chirurgicaux des hyperactivités vésicales neurologiques

Augmentation Cystoplasty

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