Outcomes and quality of life of adults undergoing continent catheterizable vesicostomy for neurogenic bladder.
OBJECTIVE
To evaluate the functional outcomes and quality of life of adult patients with neurogenic bladders who had undergone Casale Spiral Monti vesicostomy.


METHODS
Twelve patients who underwent Casale Spiral Monti vesicostomy from May 1999 to December 2004 were evaluated with the Medical Outcomes Study 36-item short-form health survey to assess for postoperative quality of life. Complications and patient reported continence were also documented.


RESULTS
The 12 patients (mean age 27.4 years) were followed up for a mean of 2.8 years. All 12 reported excellent urinary continence after the procedure, with only 7 patients who had the capacity to self-catheterize. Two patients reported wearing one light pad per day over the stoma. Two patients required one endoscopic dilation each for stomal stenosis, and one patient was readmitted 3 weeks postoperatively for the management of paralytic ileus. Eight patients reported no urinary tract infection since the operation. All 12 patients reported being very satisfied with the procedure.


CONCLUSIONS
The results of this study have demonstrated that Casale Spiral Monti vesicostomy can have dramatic positive effects on the quality of life in adults with a neurogenic bladder by granting them social independence, convenient bladder management, and excellent continence rates.
Touma
Naji J
NJ
Division of Urology, University of Western Ontario, London, Ontario, Canada.
Horovitz
David
D
Shetty
Akshay
A
Caumartin
Yves
Y
De Maria
Jorge
J
Luke
Patrick P W
PP
D000293:Adolescent; D000328:Adult; D003559:Cystostomy / Q000379:methods / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007082:Ileum; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology; D011788:Quality of Life; D012189:Retrospective Studies; D012648:Self Care; D012917:Social Adjustment; D016896:Treatment Outcome; D001750:Urinary Bladder, Neurogenic / Q000150:complications / Q000523:psychology / Q000601:surgery*; D014546:Urinary Catheterization / Q000523:psychology; D014552:Urinary Tract Infections / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control