[W enterocystoplasty with resorbable staples: technic and functional results. Preliminary study].
BACKGROUND
The use of absorbable staples for enterocystoplasty allows a marked reduction of the operating time. The long-term results on continence need to be evaluated at result term before adopting this technique.


METHODS
Eight patients underwent "W" enterocystoplasty performed with absorbable staples according to the so-called "Detroit" technique, with direct uretero-ileal anastomosis. The continence of these patients was evaluated by clinical follow-up and urodynamic assessment (3 patients). Quality of life was studied by a questionnaire sent to the patient.


RESULTS
The mean operating time was 5 hours 20 minutes, the plasty was performed in 25 to 35 minutes. The mean follow-up was 18.7 months, during which two uretero-ileal strictures were diagnosed. 7 of the 8 patients have a good diurnal continence (no leaks) and 1 patient has moderate continence (1 protection). Nocturnal continence was considered to be good in 3 cases, moderate in 2 cases and poor in 3 cases (> 1 protection). Four of the patients evaluated by questionnaire reported urinary disorders.


CONCLUSIONS
The use of absorbable staples allows a definite reduction of the operating time, for a modes excess cost and satisfactory functional results.
Ravery
V
V
Clinique Urologique, CHU Bichat-Claude Bernard, Paris.
de la Taille
A
A
Chiche
R
R
Amar
E
E
Hermieu
J F
JF
Hoffmann
P
P
Moulinier
F
F
Delmas
V
V
Boccon-Gibod
L
L
D000042:Absorption; D000368:Aged; D000714:Anastomosis, Surgical / Q000295:instrumentation / Q000379:methods; D002940:Circadian Rhythm; D003251:Constriction, Pathologic / Q000209:etiology; D005069:Evaluation Studies as Topic; D005240:Feasibility Studies; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D007670:Kidney Calices / Q000000981:diagnostic imaging; D007682:Kidney Pelvis / Q000000981:diagnostic imaging; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D011859:Radiography; D011795:Surveys and Questionnaires; D013537:Sutures; D013997:Time Factors; D014513:Ureter / Q000601:surgery; D014549:Urinary Incontinence / Q000209:etiology; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects / Q000145:classification / Q000502:physiology*; D014554:Urination / Q000502:physiology; D014563:Urodynamics
Entérocystoplastie en W aux agrafes résorbables: technique et résultats fonctionnels. Etude préliminaire.