[Augmentation cystoplasty and intermittent catheterization in neurogenic bladder].
An enterocystoplasty was done on 17 paraplegic adults patients (Beit Chahab Hospital for Handicapped) with hyperreflexic neurogenic bladder secondary to an accident of the supra-sacral medulla. These patients were incontinent, had urinary tract infections, vesico-renal reflux or autonomic dysreflexia. Detubularized ileum was used in 16 cases and sigmoid in one. Ureteral reimplantation was performed on one patient; implantation of an artificial urinary sphincter for one patient and an injection of a periurethral Teflon paste was also done for one patient. After 16 months of follow-up all patients are continent on self intermittent catheterization. The upper urinary tract is stable or improved. No autonomic dysreflexia. Thirteen patients have an asymptomatic untreated bacteriuria.
Merhej
S
S
Service d'Urologie, Hôtel-Dieu de France, Beyrouth, Liban.
Masri
H
H
Moukarzel
M
M
Chelouhy
E
E
Chaiban
R
R
el-Khoury
R
R
Kassardjian
Z
Z
D000293:Adolescent; D000328:Adult; D012809:Colon, Sigmoid / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D001743:Urinary Bladder / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*; D014546:Urinary Catheterization
Cystoplastie d'augmentation et cathétérisme intermittent dans les vessies neurogènes.