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Related Experiment Videos

Ileumaugmentation and alloplastic sphincter implants.

F Noll1, F Schreiter

  • 1Department of Urology, University of Witten/Herdecke.

Acta Urologica Belgica
|January 1, 1991
PubMed
Summary
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Bladder augmentation surgery, sometimes with artificial sphincters, successfully improved continence in 42 of 46 patients with neurogenic bladder. This treatment offers high patient satisfaction for spinal cord injury and myelomeningocele patients.

Area of Science:

  • Urology
  • Neurosurgery
  • Pediatric Surgery

Background:

  • Reflex bladder activity significantly impacts quality of life.
  • Conservative treatments often fail for neurogenic bladder.
  • Spinal cord injury and myelomeningocele are common causes of neurogenic bladder.

Purpose of the Study:

  • To evaluate the effectiveness of bladder augmentation and artificial sphincter implantation.
  • To assess outcomes in patients with neurogenic bladder due to spinal cord injury or myelomeningocele.
  • To determine patient satisfaction with surgical interventions.

Main Methods:

  • Surgical procedures included bladder augmentation (ileum, sigma) and total bladder replacement.
  • Artificial urinary sphincter implantation was performed in select cases.

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  • Antireflux operations and bladder-flap procedures were also utilized.
  • A cohort of 46 patients with failed conservative treatment was analyzed.

    • Main Results:

    • Acceptable urinary continence was achieved in 42 out of 46 patients (91%).
    • Surgical interventions included 39 ileal augmentations, 5 total bladder replacements, and 2 sigma augmentations.
    • 26 artificial urinary sphincters were implanted.
    • Patient satisfaction was reported at 88%.

    Conclusions:

    • Bladder augmentation, with or without artificial sphincter implantation, is an effective treatment for neurogenic bladder.
    • These surgical options provide significant improvements in continence and patient satisfaction.
    • The procedures are beneficial for patients with spinal cord injury and myelomeningocele.