Fate of the leftover bladder after supravesical urinary diversion for benign disease
Fate of the leftover bladder after supravesical urinary diversion for benign disease
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DOI：
10.1016/j.juro.2006.03.056
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发表时间：
2006-08-01
影响因子：
6.6
通讯作者：
Mufti, G. R.
中科院分区：
文献类型：
--
作者：
Fazili, Tajammul;Bhat, Tahir R.;Mufti, G. R.
目的：我们研究的命运，剩余的膀胱患者接受了膀胱上尿流改道没有cycermination良性pathology.Materials和方法：这项回顾性研究进行了9名男性和15名女性，中位年龄为59岁，其中膀胱上尿流改道进行了各种良性条件，从1996年至2004年。这些疾病包括尿失禁、膀胱收缩、放射性和/或出血性膀胱炎以及神经性膀胱。中位随访时间为48 months.Results：13例（54%）患者出现了保留膀胱的问题，2例（8%）出现尿道出血，经保守治疗后痊愈，11例（46%）出现感染并发症，3例（12%）经保守治疗后痊愈。然而，8名患者（33%）有明显的脓囊炎，3名（12%）接受了Spence手术治疗，仅1名患者症状缓解。6例患者（25%）需要cyberylos.Conclusions：在接受膀胱上尿流改道良性疾病的患者中，膀胱仍然在原位的风险与去功能化膀胱相关的并发症超过50%，25%的患者随后需要cyberylos. Conclusions。这些患者应在尿流改道时给予原发性膀胱炎。
Purpose: We studied the fate of the leftover bladder in patients who underwent supravesical urinary diversion without cystectomy for benign pathology.Materials and Methods: This retrospective study was performed in 9 males and 15 females with a median age of 59 years in whom supravesical urinary diversion was performed for various benign conditions from 1996 to 2004. These conditions were incontinence, acontractile bladder, radiation and/or hemorrhagic cystitis, and neuropathic bladder. Median followup was 48 months.Results: Of the patients 13 (54%) experienced problems with the retained bladder, 2 (8%) presented with urethral bleeding, which resolved by conservative means, and 11 (46%) had infective complications, which resolved with expectant treatment in 3 (12%). However, 8 patients (33%) had frank pyocystis and 3 (12%) were treated with the Spence procedure, which alleviated symptoms in only 1. Six patients (25%) required cystectomy.Conclusions: In patients undergoing supravesical urinary diversion for benign disease in whom the bladder remains in situ the risks of complications related to the defunctionalized bladder are more than 50% and 25% of patients subsequently need cystectomy. These patients should be offered primary cystectomy at urinary diversion.