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Gas cystometry in cases of continent bladder exstrophy
The Journal of Urology
|April 1, 1978
Summary
Cystometry in bladder exstrophy patients shows most have normal bladder function. Anal plug electromyography confirms appropriate responses, indicating preserved continence mechanisms in these individuals.
Area of Science:
- Urology
- Pediatric Surgery
- Continence Research
Background:
- Bladder exstrophy is a congenital anomaly requiring complex surgical reconstruction.
- Assessing bladder function and continence mechanisms post-reconstruction is crucial for patient outcomes.
Purpose of the Study:
- To evaluate the urodynamic findings in patients with closed continent bladder exstrophy.
- To correlate cystometry results with anal plug electromyography to assess continence.
Main Methods:
- Performed cystometry on 21 patients with closed continent bladder exstrophy.
- Conducted simultaneous anal plug electromyography during cystometry.
Main Results:
- 14 out of 21 patients demonstrated a normal reflexic bladder on cystometry.
- All patients exhibited appropriate anal plug electromyogram responses correlated with cystometry.
Conclusions:
- A significant proportion of patients with closed continent bladder exstrophy achieve normal bladder reflexes.
- Simultaneous anal plug electromyography is a valuable tool for assessing continence in conjunction with cystometry.