title: Combined reconstructive and prosthetic surgery in complicated lower urinary tract dysfunction.
abstract: OBJECTIVE
  The combined use of the appropriate reconstructive technique and available prosthetic material was evaluated to achieve an optimal functional result in complicated lower urinary tract dysfunction.
  
  
  METHODS
  The study included 16 male and 8 female patients. Urinary dysfunction was classified into 2 main categories: 1) neuropathic and 2) nonneuropathic. Of the patients 22 underwent some form of augmentation (21) or substitution (1) cystoplasty, 24 received an artificial urinary sphincter, 2 underwent abdominoperineal urethroplasty and 2 received a permanent urethral stent. One patient underwent renal transplantation and 1 received a penile prosthesis for concurrent impotence.
  
  
  RESULTS
  A total of 20 patients (83.3%) became continent, 10 void spontaneously, while 14 must empty the bladder or pouch by clean intermittent self-catheterization. All patients have stable or improved renal function.
  
  
  CONCLUSIONS
  Combined reconstructive and prosthetic surgery has an important role in the treatment of lower urinary tract dysfunction, with a high success rate and good quality of life.
authors.affiliation: Urology Department, Polycliniki Hospital, Athens, Greece.
authors.forename: C
authors.initials: C
authors.lastname: Theodorou
authors.forename: D
authors.initials: D
authors.lastname: Plastiras
authors.forename: G
authors.initials: G
authors.lastname: Moutzouris
authors.forename: D
authors.initials: D
authors.lastname: Floratos
authors.forename: N
authors.initials: N
authors.lastname: Mertziotis
authors.forename: J
authors.initials: J
authors.lastname: Miliaras
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001187:Artificial Organs; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D001745:Urinary Bladder Diseases / Q000601:surgery*; D014554:Urination