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Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
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Management of Voiding Dysfunction After Female Neobladder Creation
Nathan Y Hoy1, Joshua A Cohn2, Casey G Kowalik3
1Division of Urology, University of Alberta, Edmonton, AB, Canada.
Current Urology Reports
|March 12, 2017
Summary
Functional complications like urinary incontinence and retention after orthotopic neobladder (ONB) urinary diversion present challenges. Improving surgical techniques is key, as post-operative management options for voiding dysfunction are limited.
Area of Science:
- Urology
- Female Pelvic Medicine and Reconstructive Surgery
Background:
- Functional complications, including urinary incontinence and retention, are significant challenges following orthotopic neobladder (ONB) urinary diversion.
- Voiding dysfunction after ONB can profoundly impact a patient's quality of life.
Purpose of the Study:
- To review contemporary treatment options for voiding dysfunction in females after ONB.
- To highlight the importance of surgical technique in preventing and managing these complications.
Main Methods:
- Literature review of contemporary treatment options for voiding dysfunction post-ONB in females.
- Analysis of surgical techniques and their impact on functional outcomes.
Main Results:
- Urethral nerve-sparing and uterine preservation are crucial for maintaining continence.
- Evidence for lifestyle measures and surgical interventions (slings, bulking agents) for incontinence is limited and variable.
- Self-catheterization remains the most effective management for urinary retention.
- Current post-operative management options for voiding dysfunction are limited.
Conclusions:
- Advances focus on refining surgical techniques to minimize the risk of incontinence and retention.
- There is a need for improved post-operative management strategies for voiding dysfunction after ONB.
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