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Clam enterocystoplasty in the neuropathic bladder.
P McRae1, K H Murray, D E Nurse
1Department of Urology, Royal Infirmary, Cardiff.
British Journal of Urology
|December 1, 1987
Summary
Clam enterocystoplasty effectively treats severe bladder instability and neuropathic bladders. This surgical procedure offers satisfactory outcomes for patients, often avoiding the need for more complex reconstructive surgeries.
Area of Science:
- Urology
- Surgical Reconstruction
Background:
- Clam enterocystoplasty is a recognized treatment for severe detrusor instability.
- It is increasingly used for neuropathic bladders with hyper-reflexia or poor compliance.
Purpose of the Study:
- To evaluate the outcomes of clam enterocystoplasty in a cohort of patients.
- To assess its efficacy in various indications including incontinence, renal impairment, and undiversion.
Main Methods:
- A retrospective review of 59 patients undergoing clam enterocystoplasty over 4 years.
- Analysis of indications, surgical approach (partial or total reconstruction), and functional outcomes.
Main Results:
- The most common indication was uncontrolled incontinence.
- 14 patients had impaired renal function and 7 required undiversion.
- 55 out of 59 patients achieved satisfactory voiding or intermittent self-catheterization; 6 had stress incontinence.
Conclusions:
- Clam enterocystoplasty is an effective and satisfactory procedure for selected patients.
- It is a viable alternative to substitution cystoplasty, offering a quicker and simpler approach.