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Related Experiment Videos

Clam enterocystoplasty in general urological practice.

R C Kockelbergh1, J B Tan, C P Bates

  • 1Department of Urology, City Hospital, Nottingham.

British Journal of Urology
|July 1, 1991
PubMed
Summary
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Clam enterocystoplasty improved urgency and incontinence in 71% of patients, particularly those under 30. However, surgery had no urodynamic effect and complications were common, suggesting cautious use.

Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • Urgency and incontinence significantly impact quality of life.
  • Conservative treatments often fail for patients with detrusor instability.
  • Clam enterocystoplasty is a surgical option for refractory cases.

Purpose of the Study:

  • To evaluate the efficacy and safety of clam enterocystoplasty for urgency and incontinence.
  • To compare outcomes based on surgical plane (coronal vs. sagittal).
  • To assess the impact of surgery on urodynamic parameters.

Main Methods:

  • Retrospective analysis of 45 patients undergoing clam enterocystoplasty.
  • Patients had failed prolonged conservative treatment for urgency/incontinence.
  • Surgical plane (coronal or sagittal) and post-operative outcomes were recorded.

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Main Results:

  • 71% of patients showed improvement in urgency and incontinence.
  • Younger patients (<30 years) had better outcomes.
  • Surgery had no significant effect on urodynamic parameters; complications were frequent.
  • Sagittal plane surgery was technically simpler, but did not affect results.

Conclusions:

  • Clam enterocystoplasty can improve symptoms in select patients with refractory urgency and incontinence.
  • The sagittal approach is recommended for technical simplicity.
  • Given the major surgical nature and potential complications, this procedure should be offered judiciously.