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The gastrostomy button as a catheterizable urinary stoma: a pilot study
Stephen G Bennett1, Suzanne Bennett, Thomas E Bell
1Division of Urology, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
The Journal of Urology
|August 13, 2003
Summary
A gastrostomy button offers a safe and effective urinary stoma for neurogenic bladder, improving quality of life with low infection and stone rates. Proper sizing is key to avoid fit issues.
Area of Science:
- Urology
- Medical Devices
- Patient Quality of Life
Background:
- Neurogenic bladder often requires urinary diversion.
- Traditional methods can have complications.
- Gastrostomy buttons offer a potential alternative for catheterizable stomas.
Purpose of the Study:
- To evaluate the efficacy and safety of gastrostomy buttons as urinary stomas.
- To assess infection, encrustation, erosion, and quality of life outcomes.
- To determine the suitability of gastrostomy buttons for areflexic neurogenic bladders.
Main Methods:
- 19 patients with areflexic neurogenic bladder underwent gastrostomy button insertion.
- Urodynamic studies confirmed bladder type.
- Quality of life questionnaires and cystoscopies with urine cultures were performed over 1 year.
Main Results:
- 10 of 19 patients experienced button failure due to inadequate fit.
- All patients with successful button placement reported significantly improved quality of life.
- Low rates of symptomatic infection and bladder stones were observed; encrustation was low.
Conclusions:
- Gastrostomy buttons are a safe and effective option for catheterizable urinary stomas in areflexic neurogenic bladders.
- Key benefits include low symptomatic infection rates and minimal risk of bladder stones.
- Appropriate button sizing is crucial to prevent fit-related complications and ensure optimal outcomes.