Intermittent catheterization following enterocystoplasty.

G Singh; D G Thomas

doi:10.1111/j.1464-410x.1995.tb07669.x

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Intermittent catheterization following enterocystoplasty.

G Singh·D G Thomas

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Abstract

OBJECTIVE: To assess the segment of bowel used in enterocystoplasty and the need to perform intermittent self-catheterization (ISC) after enterocystoplasty for the treatment of incontinence. PATIENTS AND METHODS: Of 123 patients undergoing enterocystoplasty, 77 (mean age 29.5 years, range 13-61) had neurogenic disease (NB group) and 46 (mean age 45.7 years, range 16-74) had non-neuropathic bladders (NNB group). The success of enterocystoplasty, with respect to the segment of bowel used and the need for ISC, was assessed during a follow-up of 6-125 months. RESULTS: Ileum was used in 84 (63.8%), ileum and caecum in 19 (15.4%) and sigmoid in 20 (16.3%) patients. In the NB group, more patients had a sigmoid cystoplasty (24.7 vs 2.2%) and less (67 vs 80%) had an ileo-cystoplasty than in the NNB group. A total of 87 (71%) patients required ISC; 63 (82%) of the NB group and 24 (52%) of the NNB group. The influence of the intestinal segment was conspicuous in the NB group, with 82% and 95% of patients with ileocaecal and sigmoid cystoplasty needing ISC against 77% of those patients with ileal cystoplasty. The difference was not so evident in the NNB group. CONCLUSIONS: A social continence rate of 93.6% in the NB and 84.8% in the NNB patients was achieved, partly due to the patients' success with ISC, a necessary skill to be mastered by all patients before undergoing enterocystoplasty.

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Adolescent Adult Aged Female Humans Intestines Male Middle Aged Postoperative Care Self Care Treatment Outcome Urinary Bladder Urinary Bladder, Neurogenic Urinary Catheterization Urinary Incontinence Journal Article

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G Singh, D G Thomas. 1995. Intermittent catheterization following enterocystoplasty.. https://doi.org/10.1111/j.1464-410x.1995.tb07669.x

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