A real-world experience with augmentation enterocystoplasty-High patient satisfaction with high complication rates

Neurourology and Urodynamics
Shu-Yu Wu, Hann-Chorng Kuo

Abstract

To investigate the real treatment outcomes after augmentation enterocystoplasty (AE) of patients with refractory neurogenic lower urinary tract dysfunction. Retrospective follow-up in a single center. The videourodynamic data, renal function, incontinence grade, voiding pattern and management, clinical outcome, and complications were evaluated. Seventy-nine patients (62 men and 17 women) were included. The mean age at operation was 39.4 ± 11.6 years and the mean follow-up period was 128.4 ± 85.2 months. At follow-up, 5 (6.7%) patients had spontaneous voiding, 60 (80%) had to perform clean intermittent catheterization, and 10 (13.3%) chose to keep the indwelling catheter. The catheter-dependent rate was 93.3% and complete catheter-dependent rate was 76%. Renal function of the patients did not appear to be significantly different after AE. Three patients developed end-stage renal disease. The incontinence grade showed significant improvement (P = 0.000). Among all the patients, 41.8% experienced recurrent urinary tract infections requiring medical treatment and 21.5% suffered from chronic diarrhea. Overall, 45.6% of the patients experienced complications requiring surgical interventions, most of which were stones. Life-threatenin...Continue Reading

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Citations

Sep 13, 2019·World Journal of Urology·Philip J Cheng, Jeremy B Myers
Jul 26, 2019·Current Urology Reports·Jeffrey BudzynHumphrey Atiemo
Oct 30, 2020·Frontiers in Bioengineering and Biotechnology·Masoud ZamaniMohammad Naji
Jun 4, 2021·Neurourology and Urodynamics·Jesús Romero-MarotoAna Isabel López-López

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