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:10.1016/s0022-5347(01)61761-0

Cited by 76 publications

(21 citation statements)

References 27 publications

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“…However this procedure is irreversible as are other surgical procedures, e.g. autoaugmentation 24,25 and Brindley procedure. 26,27 The sacral dea erentation and combined implantation of an anterior sacral root stimulator that he described is a validated alternative which can be considered for complete spinal cord injury patients only, specially if patients ask for suppression of SCIC which is achieved for more than 85% of implanted patients.…”

Section: Discussionmentioning

confidence: 99%

Long-term results of augmentation cystoplasty in spinal cord injury patients

Chartier-Kastler

Mongiat-Artus

et al. 2000

Spinal Cord

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Study design: Prospective monocentric follow-up study. Objectives: To assess long-term functional and urodynamic results of augmentation enterocystoplasty in spinal cord injury (SCI) patients with detrusor hyperre¯exia and re¯ex incontinence who failed to respond to conservative treatment. Settings: Department of Urology (PitieÂ -SalpeÂ trieÁ re Hospital, Paris, France), Department of Neurological Rehabilitation (Raymond PoincareÂ Hospital, Garches, France), Assistance Publique ± Hopitaux de Paris, University Paris VI and V, France. Methods: Prospective study of 17 SCI patients (four above T6 level, nine between T6 and T12, and four below T12) with history of refractory urge incontinence to pharmacotherapy. Partial cystectomy (subtrigonal for 15) was performed with Hautmann enterocystoplasty (15) or detubularized clam cystoplasty (two). Results: Mean follow-up was 6.3+3.8 years (range 1.25 ± 10.5 years). Fifteen of 17 (88.5%) patients were completely continent under self clean intermittent catheterization (CIC) (mean 4.6/day, range 4 ± 7). The remaining two patients with pudendal nerve denervation had persistent stress urinary incontinence. No operative complications were noted. Long-term complications included recurrent pyelonephritis for one patient. Maximal cystometric capacity increased from 174.1+103.9 to 508.1+215.8 ml (P50.05). Maximal end ®lling pressure decreased from 65.5+50.2 to 18.3+7.9 cm H 2 O (P50.05). Conclusion: Urodynamic evaluation and clinical assessment demonstrate long-term success of augmentation enterocystoplasty in an homogeneous population (SCI) without delayed complications in SCI patients. Spinal Cord (2000) 38, 490 ± 494

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Section: Discussionmentioning

confidence: 99%

Long-term results of augmentation cystoplasty in spinal cord injury patients

Chartier-Kastler

Mongiat-Artus

et al. 2000

Spinal Cord

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“…This technique was also used successfully in adults [77]. Some have reported a greater need for CISC with autoaugmentation than with gut augmentation, because emptying of the urothelial diverticulum depends solely upon abdominal pressure [78], although this is not everybody's experience [79]. Attempts to improve this technique by covering the urothelial diverticula with peritoneum have met with poor results [80].…”

Section: Autoaugmentationmentioning

confidence: 99%

Augmentation cystoplasty

Greenwell¹,

Venn²,

Mundy³

2001

BJU International

195

137

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“…A number of different techniques have been published. The results of the various procedures are very good and comparable (208,(210)(211)(212)(215)(216)(217)(255)(256)(257)(258). Bladder substitution to create a low pressure reservoir may be indicated in patients with severely thick and fibrotic bladder wall.…”

Section: 45mentioning

confidence: 99%

“…Since its clinical introduction by Cartwright and Snow (202) in children and by Stöhrer (203) in adults, this procedure for reducing DO or improving low detrusor compliance has gained popularity because of its acceptable long-term results, its low surgical burden, its low rate of long-term adverse effects, its positive effect on the patient's QoL, and because it does not preclude further interventions (1,4,(202)(203)(204)(205)(206)(207)(208)(209)(210)(211)(212)(213)(214)(215)(216)(217)(218)(219)(220)(221).…”

Section: 42mentioning

confidence: 99%