Clinical outcome and quality of life after enterocystoplasty for contracted bladders

Urologia Internationalis
H C Kuo

Abstract

From 1989 to 1995, a total of 21 patients underwent enterocystoplasty in order to increase their bladder capacity and decrease intravesical pressure. Of these, 18 had neuropathic bladders caused by spinal cord injuries and 3 had contracted bladders caused by irradiation cystitis following treatment of cervical cancer. Enterocystoplasty was performed using a 40-cm segment of terminal ileum. The postoperative follow-up periods ranged from 6 to 80 months (mean 36 months). Twelve patients, who had had preoperative hydronephrosis, showed complete resolution after enterocystoplasty. Sixteen patients, suffering from intractable urinary incontinence preoperatively, regained continence after surgery while 2 continued to have mild urgent or stress incontinence. Their mean bladder capacities were 165 +/- 97 ml preoperatively and 760 +/- 289 ml postoperatively. The end-filling pressures were 50 +/- 23 cm H2O preoperatively and 13 +/- 4.7 cm H2O postoperatively. Sixteen patients could urinate smoothly, but 12 of them occasionally needed intermittent catheterization in order to evacuate residual urine. Nineteen patients were satisfied with their surgical result, whereas 1 wished to become completely dry, and 1 could not be catheterized becau...Continue Reading

Citations

Jul 3, 2013·Cancer radiothérapie : journal de la Société française de radiothérapie oncologique·T SeisenE Chartier-Kastler
Jun 12, 2009·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Jing-Liang Chen, Hann-Chorng Kuo
Sep 3, 2013·Neurourology and Urodynamics·Shiu-Dong ChungHann-Chorng Kuo
Jul 23, 2015·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Daniel Xavier LimaOrlando Barreto Zocratto
Feb 1, 2002·American Journal of Physical Medicine & Rehabilitation·B L HickenJ S Richards
Feb 20, 2020·Lower Urinary Tract Symptoms·Li-Chen Chen, Hann-Chorng Kuo

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