6533b823fe1ef96bd127f83e
RESEARCH PRODUCT
Treatment of Iatrogenic Functional or Morphologic Bladder Loss
Peter AlkenJoachim W. ThüroffMichael StöckleRudolf HohenfellnerHubertus Riedmillersubject
Malemedicine.medical_specialtyUrologymedicine.medical_treatmentIatrogenic DiseaseUrinary BladderBladder capacityUrinary Diversionurologic and male genital diseasesEnuresis nocturnaPostoperative ComplicationsIleummedicineHumansChildCecumUpper urinary tractbusiness.industryUrinary diversionUrinary Bladder DiseasesRefluxGeneral MedicineUrination Disordersfemale genital diseases and pregnancy complicationsSurgerymedicine.anatomical_structureBladder augmentationChild PreschoolPediatrics Perinatology and Child HealthSphincterSurgeryFemalePouchbusinessdescription
From 1984 to 1986, six children from 4 to 13 years of age, received a bladder augmentation by ileocecal cystoplasty (Mainz-pouch technique) because of an iatrogenic functional or morphologic bladder loss. Indications for operation were incontinence due to the low bladder capacity or threat to the upper urinary tract due to ureteral obstruction or vesicorenal reflux. Two of the children had already undergone supravesical urinary diversion by sigmoid conduit. After a follow-up period of 2 to 19 months, (mean 11 months), five of the six children are completely continent. One boy with a known weak sphincter still has slight, but decreasing, enuresis nocturna in periods of complete filling of the pouch, 1 month after the operation. All children are able to void their augmented bladders without residual urine.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 1988-02-01 | Journal of Urology |