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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...

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Autores principales: Pavlović, Katica, Hrkać, Adelina, Kožul, Iva Salihagić, Zalihić, Dino, Zalihić, Amra, Gilja, Ivan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Polish Urological Association 2021
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.
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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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