[Augmentation ileo-cystoplasty in women with disabling urge incontinence].
The results after "clam"-augmentation cystoplasty are assessed in 11 consecutively operated women aged 35-78. All were suffering from severe urgency. Eight were urge-incontinent and six of these stress-incontinent as well. Nine patients had been operated before with a total of 14 operations. Bladder distension and parasympatholytic medication had been tried in two and seven instances respectively. One patient died of a pulmonary embolism three weeks postoperatively. Follow-up ranged from 12-52 months, mean 29 months. Eight (80% (44-97)%) of the remaining 10 patients were cured with respect to urgency. One patient was improved, and one unchanged. Three (60% (15-95)%) out of five previously stress-incontinent patients were dry, one was improved and one unchanged in spite of a subsequent stamey urethrosuspension. Eight patients (80% (44-97)%) had spontaneous micturition, one used self-catheterisation once daily and one patient was retained on an indwelling catheter. It is concluded that augmentation cystoplasty is a procedure of considerable value in patients with disabling non-neurogenic urgency, where conservative therapy and previous surgery has failed.
Holm
J
J
Kirurgisk afdeling H., Amtssygehuset i Gentofte.
Struckmann
J R
JR
Frimodt-Møller
C
C
D000328:Adult; D000368:Aged; D003559:Cystostomy / Q000379:methods*; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D008875:Middle Aged; D012189:Retrospective Studies; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000601:surgery*
Augmentationsileocystoplastik hos kvinder med invaliderende imperiøs vandladningstrang.