[Functional and urodynamic study of cecocystoplasties with or without detubation].
The authors analyse and compare the clinical and urodynamic results of 16 tubed caecocystoplasties and 5 detubed ileocaecocystoplasties. The urodynamic assessments were performed between 2 months and up to 4 years after the operation. After a period of about 6 months, there was a functional difference between these two types of reservoir. The loss of pressure peaks in detubed reservoirs is not sufficient to ensure complete nocturnal continence. Neovesico-sphincteric synergy is responsible for real sphincteric self-re-education. Rationally, a detubing procedure in bladder replacement is only desirable in the case of a "deficient" sphincter.
Coulange
C
C
Service d'Urologie, Hôpital de la Timone, Marseille.
Planche
D
D
Leremboure
H
H
Albert
P
P
Hernandez
F
F
Rampal
M
M
D002432:Cecum / Q000601:surgery; D006801:Humans; D001743:Urinary Bladder / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*; D014563:Urodynamics
Etude fonctionnelle et urodynamique des caecocystoplasties avec ou sans détubulisation.