Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Long-term results of continent catheterizable urinary channels in adults with non-neurogenic or neurogenic lower urinary tract dysfunction.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: Medical Journals Sweden AB Country of Publication: Sweden NLM ID: 101587186 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2168-1813 (Electronic) Linking ISSN: 21681805 NLM ISO Abbreviation: Scand J Urol Subsets: MEDLINE
    • بيانات النشر:
      Publication: 2023-: Uppsala, Sweden : Medical Journals Sweden AB
      Original Publication: Colchester, Esssex : Informa Healthcare
    • الموضوع:
      Quality of Life* ; Urinary Reservoirs, Continent*; Cystostomy/*methods ; Postoperative Complications/*epidemiology ; Urinary Bladder, Neurogenic/*surgery ; Urinary Diversion/*methods ; Urination Disorders/*surgery; 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
    • نبذة مختصرة :
      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.
    • Contributed Indexing:
      Keywords: Urinary diversion; adults; complications; lower urinary tract symptoms
    • الموضوع:
      Date Created: 20190409 Date Completed: 20200109 Latest Revision: 20200109
    • الموضوع:
      20240829
    • الرقم المعرف:
      10.1080/21681805.2019.1596156
    • الرقم المعرف:
      30958079