Archivos espanoles de urologia · 2003
[Treatment of vesicoureteral reflux in patients with neurogenic bladder. Should the ureter be reimplanted in patients treated with augmentation cystoplasty?].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Castellan Miguel, Damiani Horacio, Fadil Iturralde José, Sanchez Mazzaferri Fabio, Yunes Jorge
Аннотация
OBJECTIVES: To evaluate the necessity of performing ureteral reimplantation in patients with vesicoureteral reflux secondary to neurogenic bladder.
METHODS: Retrospective review of 19 patients (10 males and 9 females), between 2 and 19 years of age (Mean age 7 years), with neurogenic bladder and vesicoureteral reflux (VUR) treated from May 1990 to July 2000. No one patient had a satisfactory response to the therapy with anticholinergic drugs and clean intermittent catheterization. All 19 patients underwent augmentation cystoplasty (15 using sigmoid colon and 4 ureter). Ten patients, 16 renal units, underwent simultaneous ureteral reimplantation.
RESULTS: All patients improved their bladder capacity and compliance after bladder augmentation. VUR disappeared in 17 patients. Two patients (3 renal units) in the group without ureteral reimplantation remained with a minor degree of reflux.
CONCLUSIONS: Bladder augmentation alone resolves VUR secondary to neurogenic bladder in a high percentage of patients.
METHODS: Retrospective review of 19 patients (10 males and 9 females), between 2 and 19 years of age (Mean age 7 years), with neurogenic bladder and vesicoureteral reflux (VUR) treated from May 1990 to July 2000. No one patient had a satisfactory response to the therapy with anticholinergic drugs and clean intermittent catheterization. All 19 patients underwent augmentation cystoplasty (15 using sigmoid colon and 4 ureter). Ten patients, 16 renal units, underwent simultaneous ureteral reimplantation.
RESULTS: All patients improved their bladder capacity and compliance after bladder augmentation. VUR disappeared in 17 patients. Two patients (3 renal units) in the group without ureteral reimplantation remained with a minor degree of reflux.
CONCLUSIONS: Bladder augmentation alone resolves VUR secondary to neurogenic bladder in a high percentage of patients.