Back to Search
Start Over
Long-term results of continent catheterizable urinary channels in adults with non-neurogenic or neurogenic lower urinary tract dysfunction.
- Source :
-
Scandinavian journal of urology [Scand J Urol] 2019 Apr - Jun; Vol. 53 (2-3), pp. 145-150. Date of Electronic Publication: 2019 Apr 08. - Publication Year :
- 2019
-
Abstract
- Objectives: To evaluate the long-term results after the construction of a Continent Catheterizable Urinary Conduit (CCUC) in adults. Methods: This study retrospectively reviewed the charts of 41 adults from two tertiary centers who received a CCUC. The demographics, underlying diseases, indications for a CCUC and outcomes such as the reoperation rate and the occurrence of complications were extracted. The patient reported outcome was measured with the Patient Global Impression of Improvement (PGI-I) scale and four additional questions about continence, leakage and stomal problems. Results: Twenty-nine patients were women. The median age at surgery was 32 years, with a median follow-up of 52 months. Twenty-six patients had a neurogenic bladder. The reoperation rate was 48.8%, with a median of 10.5 months after constructing the CCUC. Superficial stomal stenosis was the most common registered complication (20 times) and stoma revision was the most often performed reoperation (12 times). Twenty-four patients completed the PGI-I; the mean improvement rating was 2 (=much better). Conclusion: The construction of a CCUC in adults is associated with a high complication and reoperation rate. The high reoperation rate is in accordance with the sparse literature. Despite this, patients reported 'much better' on the PGI-I.
- Subjects :
- Adult
Appendix
Female
Humans
Intermittent Urethral Catheterization
Male
Middle Aged
Patient Reported Outcome Measures
Reoperation statistics & numerical data
Surgical Stomas
Urethral Stricture surgery
Urinary Retention surgery
Young Adult
Cystostomy methods
Postoperative Complications epidemiology
Quality of Life
Urinary Bladder, Neurogenic surgery
Urinary Diversion methods
Urinary Reservoirs, Continent
Urination Disorders surgery
Subjects
Details
- Language :
- English
- ISSN :
- 2168-1813
- Volume :
- 53
- Issue :
- 2-3
- Database :
- MEDLINE
- Journal :
- Scandinavian journal of urology
- Publication Type :
- Academic Journal
- Accession number :
- 30958079
- Full Text :
- https://doi.org/10.1080/21681805.2019.1596156