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Related Experiment Videos

'Clam' ileocystoplasty

R Beier-Holgersen1, L T Kirkeby, J Nordling

  • 1Department of Urology, Herlev Hospital, University of Copenhagen, Denmark.

Scandinavian Journal of Urology and Nephrology
|March 1, 1994
PubMed
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Clam enterocystoplasty effectively treats lower urinary tract dysfunction by reducing bladder pressure. This surgical technique achieved an 87% success rate in improving bladder function for patients with neurogenic and non-neurogenic disorders.

Area of Science:

  • Urology
  • Surgical Innovation
  • Lower Urinary Tract Dysfunction Management

Background:

  • Lower urinary tract dysfunction (LUTD) significantly impacts quality of life.
  • High-pressure bladders and detrusor instability are common challenges in LUTD management.
  • Existing treatments may not adequately address severe bladder dysfunction.

Purpose of the Study:

  • To evaluate the efficacy of 'clam' enterocystoplasty in treating patients with lower urinary tract dysfunction.
  • To assess the urodynamic changes and clinical outcomes following the procedure.
  • To determine the success rate and identify potential complications.

Main Methods:

  • 'Clam' enterocystoplasty was performed on 23 patients with LUTD (20 neurogenic, 3 neurologically normal).

Related Experiment Videos

  • Urodynamic evaluations were conducted pre- and postoperatively.
  • Patient outcomes, including continence and need for clean intermittent self-catheterization, were assessed.

    • Main Results:

    • A significant reduction in bladder pressure (high-pressure to low-pressure bladder) was observed.
    • The overall success rate was 87%, with 19 patients achieving dryness.
    • Postoperative detrusor instability occurred in only 2 patients; 14 required clean intermittent self-catheterization.

    Conclusions:

    • 'Clam' enterocystoplasty is an effective surgical option for managing lower urinary tract dysfunction, particularly in patients with high-pressure bladders.
    • The procedure demonstrates a high success rate in improving bladder compliance and achieving continence.
    • While effective, the need for clean intermittent self-catheterization in some patients highlights the importance of comprehensive post-operative care planning.