Combined Reconstructive and Prosthetic Surgery In Complicated Lower Urinary Tract Dysfunction

No AccessJournal of UrologyClinical Urology: Original Article1 Feb 1997Combined Reconstructive and Prosthetic Surgery In Complicated Lower Urinary Tract Dysfunction Ch. Theodorou, D. Plastiras, G. Moutzouris, D. Floratos, N. Mertziotis, and J. Miliaras Ch. TheodorouCh. Theodorou More articles by this author , D. PlastirasD. Plastiras More articles by this author , G. MoutzourisG. Moutzouris More articles by this author , D. FloratosD. Floratos More articles by this author , N. MertziotisN. Mertziotis More articles by this author , and J. MiliarasJ. Miliaras More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65176-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The combined use of the appropriate reconstructive technique and available prosthetic material was evaluated to achieve an optimal functional result in complicated lower urinary tract dysfunction. Materials and Methods: The study included 16 male and 8 female patients. Urinary dysfunction was classified into 2 main categories: 1) neuropathic and 2) nonneuropathic. Of the patients 22 underwent some form of augmentation (21) or substitution (1) cystoplasty, 24 received an artificial urinary sphincter, 2 underwent abdominoperineal urethroplasty and 2 received a permanent urethral stent. One patient underwent renal transplantation and 1 received a penile prosthesis for concurrent impotence. Results: A total of 20 patients (83.3%) became continent, 10 void spontaneously, while 14 must empty the bladder or pouch by clean intermittent self-catheterization. All patients have stable or improved renal function. Conclusions: Combined reconstructive and prosthetic surgery has an important role in the treatment of lower urinary tract dysfunction, with a high success rate and good quality of life. References 1 : Cystoplasty. In: Urodynamics: Principles, Practice and Application. Edited by . London: Churchill Livingstone1994: 457. Google Scholar 2 : Total reconstruction of the lower urinary tract using bowel and the artificial urinary sphincter. J. Urol.1984; 131: 953. Link, Google Scholar 3 : Artificial sphincters. Brit. J. Urol.1991; 67: 225. Google Scholar 4 : Experience with the artificial urinary sphincter model AS800 in 148 patients. J. Urol.1989; 141: 307. Link, Google Scholar 5 : Penile prostheses. In: Impotence: Diagnosis and Management of Male Erectile Dysfunction. Edited by . Oxford: Butterworth-Heinemann1991: 167. Google Scholar 6 : Urethral stents: current status for the treatment of recurrent bulbar urethral strictures and benign prostatic hyperplasia. Curr. Opin. Urol.1994; 4: 162. Google Scholar 7 : Urethral stricture surgery. Curr. Opin. Urol.1995; 5: 136. Google Scholar 8 : The clam cystoplasty. Brit. J. Urol.1990; 66: 337. Google Scholar 9 : Artificial urinary sphincter insertion in congenital neuropathic bladder. Brit. J. Urol.1991; 67: 155. Google Scholar 10 : Clam enterocystoplasty in the neuropathic bladder. Brit. J. Urol.1987; 60: 523. Google Scholar 11 : Augmentation cystoplasty in the treatment of neurogenic bladder dysfunction. J. Urol.1983; 129: 491. Link, Google Scholar 12 : Enterocystoplasty in the neuropathic bladder. Neurourol. Urodynam.1995; 14: 5. Google Scholar 13 : Augmentation cystoplasty and the artificial genitourinary sphincter. J. Urol.1989; 142: 297. Link, Google Scholar 14 : Long-term results and complications using augmentation cystoplasty in reconstructive urology. Neurourol. Urodynam.1995; 14: 297. Google Scholar 15 : Continent cutaneous ileostomy (Kock pouch) prior to renal transplantation. Brit. J. Urol.1990; 65: 317. Google Scholar 16 : The AS 800 urinary sphincter in renal transplantation. Brit. J. Urol.1990; 66: 549. Google Scholar 17 : Complications of clam enterocystoplasty with particular reference to urinary tract infection. Brit. J. Urol.1992; 69: 366. Google Scholar 18 : Urethral stents: history, surgical procedure, indication and results for treating benign prostatic hyperplasia, urethral stricture and neurological voiding dysfunction. In: Implanted and Injected Materials in Urology. Edited by . Oxford: International Society of Urology/Reports1995: 74. Google Scholar 19 : Impotence following pelvic fracture urethral injury: incidence, etiology and management. Brit. J. Urol.1995; 75: 62. Google Scholar Urology Department, Polycliniki Hospital, Athens, Greece.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byCASTELLAN M, GOSALBEZ R, LABBIE A, IBRAHIM E and DiSANDRO M (2018) BLADDER NECK SLING FOR TREATMENT OF NEUROGENIC INCONTINENCE IN CHILDREN WITH AUGMENTATION CYSTOPLASTY: LONG-TERM FOLLOWUPJournal of Urology, VOL. 173, NO. 6, (2128-2131), Online publication date: 1-Jun-2005.CATTO J, NATARAJAN V and TOPHILL P (2018) SIMULTANEOUS AUGMENTATION CYSTOPLASTY IS ASSOCIATED WITH EARLIER RATHER THAN INCREASED ARTIFICIAL URINARY SPHINCTER INFECTIONJournal of Urology, VOL. 173, NO. 4, (1237-1241), Online publication date: 1-Apr-2005.Theodorou C (2018) RE: COMBINED STENT AND ARTIFICIAL URINARY SPHINCTER FOR MANAGEMENT OF SEVERE RECURRENT BLADDER NECK CONTRACTURE AND STRESS INCONTINENCE AFTER PROSTATECTOMY: A LONG-TERM EVALUATIONJournal of Urology, VOL. 167, NO. 3, (1407-1408), Online publication date: 1-Mar-2002.HOLMES N, KOGAN B and BASKIN L (2018) PLACEMENT OF ARTIFICIAL URINARY SPHINCTER IN CHILDREN AND SIMULTANEOUS GASTROCYSTOPLASTYJournal of Urology, VOL. 165, NO. 6 Part 2, (2366-2368), Online publication date: 1-Jun-2001.MILLER E, MAYO M, KWAN D and MITCHELL M (2018) SIMULTANEOUS AUGMENTATION CYSTOPLASTY AND ARTIFICIAL URINARY SPHINCTER PLACEMENT: INFECTION RATES AND VOIDING MECHANISMSJournal of Urology, VOL. 160, NO. 3 Part 1, (750-753), Online publication date: 1-Sep-1998. Volume 157Issue 2February 1997Page: 472-474 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Ch. Theodorou More articles by this author D. Plastiras More articles by this author G. Moutzouris More articles by this author D. Floratos More articles by this author N. Mertziotis More articles by this author J. Miliaras More articles by this author Expand All Advertisement PDF downloadLoading ...