Augmentation Enterocystoplasty for the Treatment of Voiding Dysfunction in Spinal Cord Injury Patients.
- Author:
Wang Kwun CHOI
1
;
Won Hee PARK
Author Information
1. Department of Urology, Korea Veterans Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Spinal cord injury;
Augmentation enterocystoplasty
- MeSH:
Catheters, Indwelling;
Follow-Up Studies;
Humans;
Intermittent Urethral Catheterization;
Postoperative Complications;
Replantation;
Spinal Cord Injuries*;
Spinal Cord*;
Ureteral Obstruction;
Urinary Bladder;
Urinary Bladder, Neurogenic;
Urinary Tract;
Urinary Tract Infections
- From:Korean Journal of Urology
1994;35(9):980-984
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We performed augmentation enterocystoplasties in 15 spinal cord injury patients for treatment of high pressure neurogenic bladder and severely contracted bladder to avoid indwelling catheter. A cup-patch technique of ileocystoplasty was used in 7 patients and Mainz pouch in 7 patients and Hemi-kock pouch in 1. In postoperative complications, urinary leakage was developed but subsided spontaneously in 2 patients and right ureteral obstruction was developed & solved by reimplantation in 1 patient. After a mean followup of 24 months 14 patients were continent with clean intermittent catheterization, but 1 patient was sometimes incontinent. All upper urinary tract remained stable or improved and the symptoms of autonomic dysrefexia and symptomatic urinary tract infection were disappeared. If a patient is able to and strongly motivated to perform intermittent self-catheterization, augmentation enterocystoplasty with clean intermittent catheterization is a reasonable option for the management of spinal cord injuries with high pressure neurogenic bladders.
