A study of functional recovery for urination and defecation in patients with myelodysplasia: a modified seromuscular ileal flap fixation to the bladder.
J Urol
; 141(2): 292-6, 1989 Feb.
Article
in En
| MEDLINE
| ID: mdl-2913347
ABSTRACT
From 1978 to 1985, 57 myelodysplasia patients with urinary and defecatory dysfunction underwent surgical treatment by modified seromuscular ileal flap fixation to the bladder. Followup was 1 to 88 months. Bladder capacity did not decrease, and voiding time and urine flow rate significantly improved. A urinary substitute sensation appeared in 45 of 46 patients (97.8 per cent) and urinary incontinence improved in 36 of 37 (97.3 per cent). A fecal substitute sensation appeared in 31 of 46 patients (67.4 per cent) and constipation improved in 22 (47.8 per cent). Operative complications were encountered in 5 of 57 patients (8.8 per cent), including 3 cases of prolonged paralytic ileus, 1 obstructive ileus and 1 wound herniation. Modified seromuscular ileal flap fixation to the bladder appears to be indicated for patients with the lower type of neurogenic bladder with neither a low compliance bladder nor high grade vesicoureteral reflux.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Urination
/
Urinary Bladder
/
Urinary Bladder, Neurogenic
/
Meningomyelocele
/
Defecation
/
Ileum
Type of study:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limits:
Adolescent
/
Female
/
Humans
/
Male
Language:
En
Journal:
J Urol
Year:
1989
Document type:
Article
Affiliation country:
Japan