[Urodynamic study of the behavior of detubulated ileocystoplasties according to feeding].
Twenty-three patients having undergone enterocystoplasty with a detubulated graft has an urodynamic study on an empty stomach and after a standardized meal. All patients (average age 62.9 years) had been operated more than 6 months earlier, and 30% still presented with urine leakages at night. The urodynamic study included a cystomanometric measurement with rapid water filling, an urethral profile and a micturating cystography. It was repeated 60 to 90 minutes after a meal composed of glucids, lipids and protids. Feeding had variable effects on the intestinal graft: increase in peristaltic intensity and/or earlier onset of contractions (10/23); apparently paradoxical decrease in contractions (6/23); sometimes no modification (7/23). This short work without any obvious physiopathological explanation has led us to advocating breaking up feeding for patients who were improved by the meals.
Service d'Urologie, Hôpital Cochin, Paris.
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Conquy
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Zerbib
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Belas
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Debré
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Steg
D000368:Aged; D004435:Eating; D006801:Humans; D007082:Ileum; D008875:Middle Aged; D001745:Urinary Bladder Diseases / Q000601:surgery*; D014549:Urinary Incontinence / Q000601:surgery*; D016476:Urinary Reservoirs, Continent / Q000379:methods*; D014563:Urodynamics
Etude urodynamique du comportement des iléocystoplasties détubulées en fonction de l'alimentation.