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Intravesical Jackson-Pratt drain for urinary diversion after augmentation cystoplasty
M K Zenni1, C S Cooper, J C Hutcheson
1Division of Pediatric Urology, Children's Hospital of Iowa, Iowa City, Iowa, USA.
The Journal of Urology
|March 21, 2001
Summary
The Jackson-Pratt drain offers superior urinary drainage and irrigation for augmented bladders compared to traditional Malecot catheters. This cost-effective, pliable option reduces complications in pediatric augmentation cystoplasty patients.
Area of Science:
- Pediatric Urology
- Surgical Innovation
- Bladder Reconstruction
Background:
- Augmentation cystoplasty is a key treatment for noncompliant bladders in children.
- Effective urinary drainage and mucus removal are crucial for healing after bladder augmentation.
- Traditional Malecot catheters present challenges like poor irrigation and dislodgment.
Purpose of the Study:
- To evaluate the efficacy of intravesical Jackson-Pratt drains for urinary diversion in augmented bladders.
- To compare the Jackson-Pratt drain with the Malecot catheter in terms of drainage, irrigation, and complications.
Main Methods:
- Retrospective review of 17 patients who received intravesical Jackson-Pratt drains for augmentation cystoplasty between 1995 and 1999.
- Assessment of postoperative catheter drainage, irrigation effectiveness, and catheter-related complications.
Main Results:
- Patients (average age 13) with various cystoplasty types (ileal, sigmoid) experienced excellent postoperative drainage.
- Jackson-Pratt drains facilitated easier irrigation and were more cost-effective than Malecot catheters.
- No drains became nonfunctional, and only one was dislodged during transfer.
Conclusions:
- Intravesical Jackson-Pratt drains provide excellent urinary drainage for augmented bladders.
- The multi-opening design enhances irrigation compared to single-opening Malecot catheters.
- Jackson-Pratt drains are a cost-effective, pliable, and superior alternative for augmented neurogenic bladders.