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Is Ureteral Reimplantation Necessary During Augmentation Cystoplasty in Patients With Neurogenic Bladder and Vesicoureteral Reflux?

2002; Lippincott Williams & Wilkins; Volume: 168; Issue: 4 Part 1 Linguagem: Inglês

10.1016/s0022-5347(05)64469-2

1527-3792

Nasser Simforoosh, Ali Tabibi, Abbas Basiri, Mohammad Hosein Noorbala, A. Danesh, Amir Ijadi,

Ureteral procedures and complications

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Oct 2002Is Ureteral Reimplantation Necessary During Augmentation Cystoplasty in Patients With Neurogenic Bladder and Vesicoureteral Reflux? Nasser Simforoosh, Ali Tabibi, Abbas Basiri, Mohammad Hosein Noorbala, Abdolkarim Dezfooli Danesh, and Amir Ijadi Nasser SimforooshNasser Simforoosh More articles by this author , Ali TabibiAli Tabibi More articles by this author , Abbas BasiriAbbas Basiri More articles by this author , Mohammad Hosein NoorbalaMohammad Hosein Noorbala More articles by this author , Abdolkarim Dezfooli DaneshAbdolkarim Dezfooli Danesh More articles by this author , and Amir IjadiAmir Ijadi More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)64469-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We assessed the outcome of vesicoureteral reflux after augmentation cystoplasty in patients with neurogenic bladder. Materials and Methods: Since May 1992, 112 male and 18 female patients with neurogenic bladder have undergone augmentation cystoplasty with a generous detubularized segment of bowel and no effort to correct existing reflux. Patients were treated conservatively at the beginning but the response was unsatisfactory. All patients had various degrees of vesicoureteral reflux (197 refluxing units). Mean age at operation was 21.6 years (range 1.5 to 57). Preoperatively assessment included urinalysis, urine culture, kidney function tests, voiding cystourethrography, urodynamic evaluation, ultrasonography or excretory urography and cystoscopy when indicated. The status of vesicoureteral reflux, renal hydronephrosis and clinical pyelonephritis were studied during an average followup of 44.5 months. Results: Of the 130 patients 111 (85.4%) no longer had reflux, 14 (10.8%) had improvement, 4 (3%) had no change and 1 (0.8%) had worsening reflux. All refluxing units with grades I to III, 105 of 120 with grade IV (87.5%) and 8 of 13 with grade V (61.5%) showed complete cessation of reflux. Renal hydronephrosis improved in 127 renal units (97.7%). In 8 individuals (6.2%) without reflux after cystoplasty episodes of clinical pyelonephritis occurred. Conclusions: Augmentation cystoplasty without ureteral reimplantation is effective and adequate treatment for high pressure, noncompliant neurogenic bladder when conservative management fails. References 1 : Augmentation cystoplasty. In: . Philadelphia: W. B. Saunders Co.1988: 3167. chapt. 102. Google Scholar 2 : Ileocecal bladder augmentation in myelodysplasia;. J Urol1988; 139: 786. Link, Google Scholar 3 : Bladder augmentation: experience with 129 children and young adults. J Urol1990; 144: 445. Link, Google Scholar 4 : Reimplantation: which child?. In: . Berlin: Springer-Verlag1988: 468. Google Scholar 5 : Ureteric re-implantation in the neuropathic bladder. 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Link, Google Scholar From the Urology-Nephrology Research Center, Dr. Labbafi-nejad hospital, Tehran, Islamic Republic of Iran© 2002 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byWang Z and Liao L (2017) Effectiveness and Complications of Augmentation Cystoplasty with or without Nonrefluxing Ureteral Reimplantation in Patients with Bladder Dysfunction: A Single Center 11-Year ExperienceJournal of Urology, VOL. 199, NO. 1, (200-205), Online publication date: 1-Jan-2018.Polackwich A, Skoog S and Austin J (2012) Long-Term Followup After Endoscopic Treatment of Vesicoureteral Reflux with Dextranomer/Hyaluronic Acid Copolymer in Patients with Neurogenic BladderJournal of Urology, VOL. 188, NO. 4S, (1511-1515), Online publication date: 1-Oct-2012.Hayashi Y, Yamataka A, Kaneyama K, Kato Y, Lane G and Miyano T (2018) Review of 86 Patients With Myelodysplasia and Neurogenic Bladder Who Underwent Sigmoidocolocystoplasty and Were Followed More Than 10 YearsJournal of Urology, VOL. 176, NO. 4S, (1806-1809), Online publication date: 1-Oct-2006. Volume 168Issue 4 Part 1October 2002Page: 1439-1441 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordsvesico-ureteral refluxbladderureterreplantationbladder, neurogenicMetricsAuthor Information Nasser Simforoosh More articles by this author Ali Tabibi More articles by this author Abbas Basiri More articles by this author Mohammad Hosein Noorbala More articles by this author Abdolkarim Dezfooli Danesh More articles by this author Amir Ijadi More articles by this author Expand All Advertisement PDF downloadLoading ...