Urodynamic evaluation of patients after the Camey operation.
Ten patients were evaluated urodynamically 3 to 18 months after they underwent the Camey operation. Of these patients 2 had total diurnal and nocturnal continence, 1 was totally incontinent and 6 were incontinent to various degrees that necessitated the use of 1 to 3 pads or diapers per day. All but 2 of the Camey neobladders had cystoplasty contractions at a capacity of 50 to 200 ml. The 2 totally continent patients had no cystoplasty contractions. The bladder in the totally incontinent patient had good capacity, good compliance and low pressure contractions up to a volume of 400 ml. The condition in this patient may be attributed to sphincteric incontinence. Urinary flow is achieved by abdominal straining and is interrupted. Vesicoureteral reflux occurred in 3 of 20 renal units.
Goldwasser
B
B
Department of Urology, Mayo Clinic, Rochester, Minnesota 55905.
Rife
C C
CC
Benson
R C
RC
Furlow
W L
WL
Barrett
D M
DM
D000368:Aged; D006801:Humans; D008875:Middle Aged; D009119:Muscle Contraction; D011184:Postoperative Period; D011312:Pressure; D001743:Urinary Bladder / Q000503:physiopathology*; D014547:Urinary Diversion / Q000379:methods* / Q000592:standards; D014549:Urinary Incontinence / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics; D014567:Urography