Your browser doesn't support javascript.
loading
Outcome of de-mucosalized ileocystoplasty combined with strengthened pelvic floor in patients with neurogenic bladder / 中华泌尿外科杂志
Chinese Journal of Urology ; (12): 675-678, 2011.
Article in Zh | WPRIM | ID: wpr-422513
Responsible library: WPRO
ABSTRACT
Objective To assess the outcome of de-epithelialied ileocystoplasty combined with strengthened pelvic floor in patients with neurogenic bladder.Methods Twelve patients (9 male,3 female) aged from 18 -27 years (averaged 25 years) with neurogenic bladder received de-mucosalized seromuscular ileocystoplasty combined with strengthened pelvic floor,and were evaluated by urodynamic parmeters,upper urinary tract image appearance,and serum creatinine before and one year after operation.Results After operation,the max cystometric capacity (412 ± 32 ml),bladder compliance (26.2 ± 4.0ml/H2O),relative safety cystometric capacity (368 ±26 ml) and max flow rate (20 ±3 ml/s) were respectively significantly higher than those preoperation(247 ±27 ml,4.4 ± 1.2 ml/cm H2O,206 ±24 ml,11 ±2ml/s,P < 0.05).Moreover,the post voided residual (26 ± 8 ml) and detmsor leakage point pressure (17.8 ±3.6 cm H2O) were significantly lower than those of preoperation (136 ± 25 ml,63.1 ± 4.9cm H2O,P <0.05).The vesicoureteral reflux disappeared in five (63%) cases,and was relieved in the remaining three cases.Of the five cases with renal insufficiency,three (60%) cases had normal serum creatinine level,none had increased serum creatinine levels.After operation,late healing occurred in two ( 17% ) cases,intestinal obstruction in one (8%),vesicoabdominal fistula in one (8%),and no cases had mucous urine.Clean intermittent self-catheterization was performed in one case (8%) to empty the bladder due to a fever resulting from urinary tract infection,the remaining 12 (92%) cases could empty their bladders through abdominal pressure.Conclusions De-mucosalized seromuscular ileocystoplasty combined with strengthened pelvic floor results in a good outcome for the patients with neurogenic bladder.
Key words
Full text: 1 Index: WPRIM Language: Zh Journal: Chinese Journal of Urology Year: 2011 Type: Article
Full text: 1 Index: WPRIM Language: Zh Journal: Chinese Journal of Urology Year: 2011 Type: Article