Supratrigonal cystectomy with hautmann pouch as treatment for neurogenic bladder in spinal cord injury patients: Long-term functional results
Supratrigonal cystectomy with hautmann pouch as treatment for neurogenic bladder in spinal cord injury patients: Long-term functional results
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DOI：
10.1002/nau.21239
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发表时间：
2012-06-01
影响因子：
2
通讯作者：
Chartier-Kastler, Emmanuel
中科院分区：
文献类型：
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作者：
Gobeaux, Nicolas;Yates, David R.;Chartier-Kastler, Emmanuel
目的探讨脊髓损伤（spinal cord injury，SCI）患者神经源性膀胱的临床和尿动力学资料沿着以及手术治疗的近期和远期并发症。方法单中心回顾性研究61例伴有神经源性逼尿肌过度活动（neurogenic detrusor overactivity，NDO）相关尿失禁和/或括约肌无力性尿失禁的SCI患者。伴随压力性尿失禁手术（27.9%; n =？17）。结果平均随访5.84年（120.5年），改善率89.7%，完全缓解率74.1%。6例（10.3%）患者手术失败（尿失禁持续），其中3例同时接受压力性尿失禁手术。尿动力学检查，最大膀胱容量（MCC）（ml）从305.2增加到509.4（P < 0.01）。
Aims To study clinical and urodynamic data along with immediate and long-term morbidity of surgical management of neurogenic bladder in spinal cord injury (SCI) patients Methods Single-center retrospective study of 61 SCI patients with neurogenic detrusor overactivity (NDO) related urinary incontinence and/or sphincter weakness incontinence who underwent supratrigonal cystectomy with Hautmann pouch?+/-?concomitant stress incontinence procedure (27.9%; n?=?17). Results With a mean follow-up of 5.84 years (range 120.5) an improved or total continence rate was achieved in 89.7% and 74.1%, respectively. Surgery failed (incontinence persisted) for six (10.3%) patients, three of which had a simultaneous procedure for stress incontinence. On urodynamics, maximum cystometric capacity (MCC) (ml) increased from 305.2 to 509.4 (P?