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Related Experiment Videos

[Urethral valves and urinary incontinence: bladder function in temporary high diversion].

T Schuster1, M Stehr, H G Dietz

  • 1Kinderchirurgischen Klinik, Dr.-v.-Haunerschen-Kinderspital, Klinikum Innenstadt der Universität München, Deutschland. schuster@kk-i.med.uni-muenchen.de

Wiener Medizinische Wochenschrift (1946)
|March 30, 1999
PubMed
Summary

Temporary high diversion in children with posterior urethral valves (PUV) did not negatively impact bladder function. Urodynamic studies showed improved bladder capacity and compliance after treatment, even following diversion procedures.

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Area of Science:

  • Pediatric Urology
  • Urodynamics
  • Congenital Anomalies

Context:

  • Posterior urethral valves (PUV) are a common cause of bladder outlet obstruction in male infants.
  • Management often involves valve ablation and, in some cases, temporary urinary diversion.
  • Long-term effects of diversion on bladder function require further investigation.

Purpose:

  • To evaluate the urodynamic outcomes in patients with PUV following operative management, specifically assessing the impact of temporary high diversion.
  • To determine if temporary diversion negatively affects bladder compliance and capacity.
  • To analyze changes in bladder function before and after diversion reversal.

Summary:

  • Urodynamic follow-up studies were conducted on patients (mean age 8.4 years) treated for PUV between 1992-1997.

Related Experiment Videos

  • Study A assessed bladder function after temporary high diversion (e.g., ureterocutaneostomy), while Study B evaluated function after undiversion.
  • Patients with temporary diversion showed initially higher pathological compliance and capacity; post-undiversion, all patients improved, with those having diversion exhibiting surprisingly better compliance and capacity.
  • Impact:

    • Temporary high diversion (e.g., Sober stoma) does not preclude successful improvement of urodynamic parameters after PUV treatment.
    • Bilateral temporary high diversion does not lead to the development of a 'low compliance-low capacity bladder'.
    • These findings support the safety and efficacy of temporary diversion as a management strategy in select PUV cases.