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Long-term results of augmentation ileocystoplasty in spinal cord injury patients
INTRODUCTION: The aim of this article was to report the long-term results of increased ileocystoplasty in 58 patients with spinal cord injury (SCI) with an impact on overall renal function and quality of life. In a representative number of patients, where we followed individual subjects for more tha...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Polish Urological Association
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8318013/ https://www.ncbi.nlm.nih.gov/pubmed/34336235 http://dx.doi.org/10.5173/ceju.2021.0333.R1 |
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author | Pavlović, Katica Hrkać, Adelina Kožul, Iva Salihagić Zalihić, Dino Zalihić, Amra Gilja, Ivan |
author_facet | Pavlović, Katica Hrkać, Adelina Kožul, Iva Salihagić Zalihić, Dino Zalihić, Amra Gilja, Ivan |
author_sort | Pavlović, Katica |
collection | PubMed |
description | INTRODUCTION: The aim of this article was to report the long-term results of increased ileocystoplasty in 58 patients with spinal cord injury (SCI) with an impact on overall renal function and quality of life. In a representative number of patients, where we followed individual subjects for more than 20 years, we wanted to determine their quality of life and preservation of renal function after surgery. MATERIAL AND METHODS: After unsuccessful conservative therapy of urinary incontinence, increased ileocystoplasty was performed. In addition to biochemical analysis, intravenous urography (IVU) was performed preoperatively (urography and/or ultrasound assessment of the upper urinary tract) and urodynamic tests were performed in all patients preoperatively. RESULTS: After a follow-up of patients within the group (>20 years), 2 patients reported being incontinent. The median elapsed time of action was 20 (13–24) years. Vesical capacity increased in all cases postoperatively when the median vesical capacity was 420.0 (387.5–460.0) ml (p <0.001). Long-term complications included use of bladder chambers, kidney stones and urosepsis. Creatinine clearance confirmed satisfactory renal function after the elapsed time period from surgery. CONCLUSIONS: The results confirmed that augmentation ileocystoplasty had excellent long-term outcomes in the definitive therapy of refractory neurogenic detrusor overactivity in patients with SCI. |
format | Online Article Text |
id | pubmed-8318013 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Polish Urological Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-83180132021-07-30 Long-term results of augmentation ileocystoplasty in spinal cord injury patients Pavlović, Katica Hrkać, Adelina Kožul, Iva Salihagić Zalihić, Dino Zalihić, Amra Gilja, Ivan Cent European J Urol Original Paper INTRODUCTION: The aim of this article was to report the long-term results of increased ileocystoplasty in 58 patients with spinal cord injury (SCI) with an impact on overall renal function and quality of life. In a representative number of patients, where we followed individual subjects for more than 20 years, we wanted to determine their quality of life and preservation of renal function after surgery. MATERIAL AND METHODS: After unsuccessful conservative therapy of urinary incontinence, increased ileocystoplasty was performed. In addition to biochemical analysis, intravenous urography (IVU) was performed preoperatively (urography and/or ultrasound assessment of the upper urinary tract) and urodynamic tests were performed in all patients preoperatively. RESULTS: After a follow-up of patients within the group (>20 years), 2 patients reported being incontinent. The median elapsed time of action was 20 (13–24) years. Vesical capacity increased in all cases postoperatively when the median vesical capacity was 420.0 (387.5–460.0) ml (p <0.001). Long-term complications included use of bladder chambers, kidney stones and urosepsis. Creatinine clearance confirmed satisfactory renal function after the elapsed time period from surgery. CONCLUSIONS: The results confirmed that augmentation ileocystoplasty had excellent long-term outcomes in the definitive therapy of refractory neurogenic detrusor overactivity in patients with SCI. Polish Urological Association 2021-03-26 2021 /pmc/articles/PMC8318013/ /pubmed/34336235 http://dx.doi.org/10.5173/ceju.2021.0333.R1 Text en Copyright by Polish Urological Association https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Original Paper Pavlović, Katica Hrkać, Adelina Kožul, Iva Salihagić Zalihić, Dino Zalihić, Amra Gilja, Ivan Long-term results of augmentation ileocystoplasty in spinal cord injury patients |
title | Long-term results of augmentation ileocystoplasty in spinal cord injury patients |
title_full | Long-term results of augmentation ileocystoplasty in spinal cord injury patients |
title_fullStr | Long-term results of augmentation ileocystoplasty in spinal cord injury patients |
title_full_unstemmed | Long-term results of augmentation ileocystoplasty in spinal cord injury patients |
title_short | Long-term results of augmentation ileocystoplasty in spinal cord injury patients |
title_sort | long-term results of augmentation ileocystoplasty in spinal cord injury patients |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8318013/ https://www.ncbi.nlm.nih.gov/pubmed/34336235 http://dx.doi.org/10.5173/ceju.2021.0333.R1 |
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