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Intermittent catheterization following enterocystoplasty

G Singh1, D G Thomas

  • 1Lodge Moor Hospital, Sheffield, UK.

British Journal of Urology
|August 1, 1995
PubMed
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Enterocystoplasty using bowel segments can achieve high continence rates. Patients, especially those with neurogenic bladders, often require intermittent self-catheterization (ISC) after the procedure.

Area of Science:

  • Urology
  • Surgical Innovation
  • Patient Outcomes

Background:

  • Enterocystoplasty is a surgical procedure to augment bladder capacity.
  • The choice of bowel segment for enterocystoplasty can influence outcomes.
  • Managing bladder function post-enterocystoplasty, particularly incontinence, is crucial.

Purpose of the Study:

  • To evaluate the impact of different bowel segments used in enterocystoplasty on patient outcomes.
  • To determine the necessity and success rate of intermittent self-catheterization (ISC) following enterocystoplasty for incontinence management.

Main Methods:

  • A retrospective analysis of 123 patients undergoing enterocystoplasty.
  • Patients were divided into neurogenic bladder (NB) and non-neuropathic bladder (NNB) groups.

Related Experiment Videos

  • Follow-up ranged from 6-125 months to assess bowel segment choice and ISC requirements.

    • Main Results:

    • Ileum was the most common segment (63.8%), followed by sigmoid (16.3%) and ileocecal (15.4%).
    • 82% of NB patients and 52% of NNB patients required ISC.
    • Sigmoid and ileocecal segments in NB patients showed a higher ISC need compared to ileal segments.

    Conclusions:

    • Enterocystoplasty achieved high social continence rates (93.6% NB, 84.8% NNB).
    • Successful ISC is vital for achieving continence in many patients, especially those with neurogenic bladders.
    • Mastering ISC before surgery is recommended for all patients undergoing enterocystoplasty.