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Long-term results of continent catheterizable urinary channels in adults with non-neurogenic or neurogenic lower urinary tract dysfunction
- Source :
- Scandinavian Journal of Urology, 53(2-3), 145-150. Informa Healthcare, Scandinavian Journal of Urology, 53(Issue 2-3), 145-150. Taylor & Francis Ltd
- 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
Male
Reoperation
medicine.medical_specialty
VESICOSTOMY
Urology
medicine.medical_treatment
Urinary system
030232 urology & nephrology
030204 cardiovascular system & hematology
Appendix
Urinary Diversion
Stoma
03 medical and health sciences
Young Adult
CONDUITS
0302 clinical medicine
Postoperative Complications
Lower urinary tract symptoms
adults
medicine
Humans
lower urinary tract symptoms
Intermittent Urethral Catheterization
Patient Reported Outcome Measures
Urinary Bladder, Neurogenic
Urethral Stricture
COMPLICATIONS
Urinary conduit
business.industry
Urinary diversion
Urinary Reservoirs, Continent
Surgical Stomas
Long term results
Middle Aged
Urinary Retention
medicine.disease
Urination Disorders
PREVENTION
Surgery
Cystostomy
Nephrology
MITROFANOFF
Quality of Life
Patient-reported outcome
Female
Complication
business
DIVERSION
Subjects
Details
- ISSN :
- 21681813 and 21681805
- Volume :
- 53
- Issue :
- 2-3
- Database :
- OpenAIRE
- Journal :
- Scandinavian journal of urology
- Accession number :
- edsair.doi.dedup.....a0d90f921af0939bffa7d9480603badc