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Experiences with clam ileocystoplasty

O Kayigil1, O Atahan, A Metin

  • 1Urologic Clinics of TCDD Ankara Hospital, Turkey.

International Urology and Nephrology
|May 6, 1998
PubMed
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Clam ileocystoplasty surgery effectively treated urge incontinence, total incontinence, and enuresis in most patients. This bladder augmentation procedure offered significant clinical improvement for over 94% of individuals studied.

Area of Science:

  • Urology
  • Surgical Innovation
  • Pelvic Floor Disorders

Background:

  • Detrusor instability is a common cause of urinary incontinence and enuresis.
  • Urge incontinence, total incontinence, and enuresis significantly impact quality of life.
  • Current treatment options for refractory detrusor instability have limitations.

Purpose of the Study:

  • To evaluate the efficacy of clam ileocystoplasty in patients with refractory detrusor instability.
  • To assess the rates of clinical cure and symptomatic improvement following the procedure.
  • To analyze the persistence of detrusor instability post-surgery.

Main Methods:

  • A cohort of 18 patients with urge incontinence, total incontinence, or enuresis underwent clam ileocystoplasty.
  • Patients were monitored for clinical outcomes, including cure and symptom improvement.

Related Experiment Videos

  • Post-operative urodynamic studies were considered to assess detrusor instability.

    • Main Results:

    • Complete clinical cure was achieved in 72.23% of patients.
    • Symptomatic improvement was observed in an additional 22.22% of patients.
    • Detrusor instability persisted in 33.33% of the patient cohort post-procedure.

    Conclusions:

    • Clam ileocystoplasty is a highly effective surgical option for managing urge incontinence, total incontinence, and enuresis.
    • The procedure offers substantial relief and improved quality of life for the majority of patients.
    • While effective, a subset of patients may still experience persistent detrusor instability requiring further management.