An initial evaluation of pelvic floor function and quality of life of bladder exstrophy patients after ureterosigmoidostomy.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Jennifer Miles-ThomasSusan L Gearhart

Abstract

Classic bladder exstrophy is characterized by displaced pelvic floor musculature and significant skeletal and genitourinary defects. A paucity of data exist evaluating long-term pelvic floor function in exstrophy patients after ureterosigmoidostomy. This study is an initial attempt to evaluate the prevalence of urofecal incontinence, pelvic organ prolapse, and overall quality of life in patients who have had ureterosigmoidostomies. Fifty-two individuals who underwent ureterosigmoidostomy between 1937 and 1990 were identified through the Ureterosigmoidostomy Association and the Johns Hopkins bladder exstrophy database and mailed questionnaires approved by the Institutional Review Board (Johns Hopkins). Data were analyzed with SigmaStat 3.0 (SPSS, Inc., Chicago, IL). Eighty-three percent of the subjects responded, with a mean age of 44.4 years (range, 14-73 years) and mean of 40.9 years (range, 14-65 years) after ureterosigmoidostomy. Prevalence of daily urinary and fecal incontinence was 48% (n = 20) and 26% (n = 11), respectively, whereas the prevalence of weekly combined urofecal incontinence was 63% (n = 27). The incidence of pelvic organ prolapse in this cohort was 48% (n = 20). In these patients, a significant risk of urofe...Continue Reading

Citations

Mar 2, 2013·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Jai K Mahajan, Kattragadda L N Rao
Sep 21, 2011·Journal of Pediatric Surgery·Andrew A StecJohn P Gearhart
Apr 2, 2011·Seminars in Pediatric Surgery·David Chalmers, Fernando Ferrer
Jul 26, 2011·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Rosa M LaterzaHeinz Koelbl
Jan 20, 2015·Journal of Pediatric Surgery·Dylan StewartJohn P Gearhart
Aug 2, 2014·Journal of Pediatric Urology·Brian M InouyeJohn P Gearhart
Oct 19, 2010·The Journal of Urology·Viviane WittmeyerRémi Besson
Feb 27, 2018·Current Urology Reports·Melissa R Kaufman
May 23, 2009·Current Opinion in Urology·Rita Gobet
Jul 20, 2017·Indian Journal of Pediatrics·Yogesh Kumar Sarin, Virender Sekhon

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