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Related Experiment Videos

[W enterocystoplasty with resorbable staples: technic and functional results. Preliminary study]

V Ravery1, A de la Taille, R Chiche

  • 1Clinique Urologique, CHU Bichat-Claude Bernard, Paris.

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie
|April 9, 1998
PubMed
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Absorbable staples significantly reduce enterocystoplasty operating time. While diurnal continence is generally good, long-term nocturnal continence and quality of life require further investigation.

Area of Science:

  • Urology
  • Surgical Innovation
  • Medical Devices

Background:

  • Enterocystoplasty traditionally involves lengthy procedures.
  • Absorbable staples offer a potential method to reduce surgical duration.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of enterocystoplasty using absorbable staples.
  • To assess continence and quality of life following this surgical technique.

Main Methods:

  • Eight patients underwent "W" enterocystoplasty with absorbable staples (Detroit technique).
  • Direct uretero-ileal anastomosis was performed.
  • Clinical follow-up, urodynamic assessment, and quality of life questionnaires were utilized.

Main Results:

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  • Mean operating time was reduced to 5 hours 20 minutes.
  • Two uretero-ileal strictures were diagnosed during the mean 18.7-month follow-up.
  • Good diurnal continence was achieved in 7/8 patients, but nocturnal continence varied, with 3/8 reporting poor results. Four patients reported urinary disorders.

    • Conclusions:

    • Absorbable staples significantly decrease enterocystoplasty operating time.
    • The technique shows satisfactory functional results, particularly for diurnal continence.
    • Long-term evaluation of nocturnal continence and quality of life is recommended.