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Related Experiment Videos

Enterocystoplasty in the neuropathic bladder

G Singh1, D G Thomas

  • 1Department of Urology, Lodge Moor Hospital, Sheffield, England.

Neurourology and Urodynamics
|January 1, 1995
PubMed
Summary
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Enterocystoplasty safely treats neuropathic bladders with intractable hyperreflexia, achieving high continence rates. This study demonstrates its reliability for neurogenic detrusor overactivity, with 93.6% of patients achieving acceptable continence.

Area of Science:

  • Urology
  • Neurosurgery
  • Gastroenterology

Background:

  • Neuropathic bladders with intractable hyperreflexia often necessitate surgical intervention.
  • Enterocystoplasty is a viable option for improving bladder capacity and function.

Purpose of the Study:

  • To evaluate the safety and efficacy of enterocystoplasty in patients with neurogenic detrusor overactivity.
  • To assess continence rates and complications following enterocystoplasty.

Main Methods:

  • Retrospective analysis of 78 patients undergoing enterocystoplasty for neurological conditions.
  • Pre-operative urodynamic assessment and concurrent procedures for incontinence.

Main Results:

  • 93.6% of patients achieved acceptable continence (65% complete, 8% with aids).

Related Experiment Videos

  • Ileal, sigmoid, and ileocaecal segments were used for cystoplasty.
  • Persistent bowel problems affected 30% of patients; other complications were infrequent.

    • Conclusions:

    • Enterocystoplasty is a safe and reliable treatment for neurogenic detrusor overactivity.
    • High continence rates are achievable, making it a recommended procedure.
    • Patient selection and counselling are crucial for successful outcomes.