Paper Information

Title: 

TREATMENT OF URINARY INCONTINENCE IN SPINAL CORD INJURY PATIENTS 12 YEARS FOLLOW UP

Type: PAPER
Author(s): NOORBALA M.H.*
 
 *
 
Name of Seminar: CONGREH ANJOMAN UROLOGY IRAN
Type of Seminar:  CONGRESS
Sponsor:  ANJOMAN OROLOGY
Date:  2005Volume 8
 
 
Abstract: 

PURPOSE: SPINAL CORD INJURED PATIENTS HAVE NEUROGENIC BLADDER AND INCONTINENCE. THEREFORE CONDOM AND URINE BAG ARE INEVITABLE PART OF THEIR LIFE. IN THIS STUDY WE REVIEW METHODS FOR OBTAINING CONTINENCE IN SPINAL CORD INJURED PATIENTS IN A PERIOD OF 12 YEARS.
METHODS AND MATERIAL AND RESULTS: WE PERFORMED AUGMENTATION CYSTOPLASTY IN 227 PATIENTS (71% WITH ILEUM AND 29% WITH ILEOCECAL OR SIGMOID). HYDRONEPHROSIS WAS SUBSIDED IN 95% AND 84% OF THEM WERE COMPLETELY DRY WITH INTERMITTENT CATHETERIZATION. COMPLICATIONS INCLUDE PERFORATION, INTESTINAL OBSTRUCTION AND URETHRAL DIFFICULTY WAS SEEN IN 6% OF PATIENTS. 457 PATIENT WERE FOLLOWED WITH INTERMITTENT CATHETERIZATION (227 WITH ENTROCYSTOPLASTY AND 230 WITHOUT IT). CONTINENCE RATE OF 77% (84% IN ENTROCYSTOPLASTY AND 75% IN OTHERS) WAS OBTAINED AND COMPLICATION WERE SEEN IN 1.5% OF PATIENTS. ARTIFICIAL URINARY SPHINCTER (AMS 800) IMPLANTED IN 26 PATIENTS (14 PARAPLEGIA). IN NONPARAPLEGIC PATIENTS (12) CONTINECE RATE WAS 85% AND REOPRATION IN 3 PERSON WAS NEEDED. IN PARAPLEGIC GROUP (14) CONTINENCE RATE WAS 78% AND SECOND SURGERY WAS NEEDED IN 8 PATIENT (7 REMOVAL OF SPHINCTER).
DISSECUSION AND CONCLUSION: ENTROCYSTOPLASTY WITH OR WITHOUT INTERMITTENT CATHETERIZATION ARE THE EFFECTIVE WAY FOR OMISSION OF CONDOM AND URINE BAG IN SPINAL CORD INJURED PATIENTS AND BECAUSE OF VERY HIGH CONTINENCE RATE AND FEW COMPLICATIONS ARE THE CHOISE METHOD. ARTIFICIAL URINARY SPHINCTER IN SELECTED PATIENTS HAS GOOD RESULTS AND HIGH CONTINENCE RATE AND IS VERY ATTRACTIVE IN SOME SPINAL CORD INJURED PATIENTS. IN PARAPLEGIC PATIENTS WITH HIGH RATE OF UTI REMOVAL OF SPHINCTER IS INEVITABLE IN ABOUT 50% OF PATIENTS AND IS NOT ROUTINELY RECOMMENDED.

 
Keyword(s): 
 
Yearly Visit 15   tarjomyar
 
Latest on Blog
Enter SID Blog