Navigation Links
New study: Enterocystoplasty in children with genitourinary abnormalities is safe and effective

Arnhem, 28 October 2013- Enterocystoplasty is a good surgical option with a low rate of severe complications in the treatment of children who were born with developmental abnormalities of the genitourinary system, according to the new study conducted by a group of Portuguese urologists.

Enterocystoplasty is a surgical enlargement of the urinary bladder which is performed to improve bladder function as a low-pressure reservoir.

"This issue is very important because in children this surgical procedure is very aggressive and we must understand the major factors that can determine its long-term success in order to provide the best quality of life to the patients," according to Dr. Fbio A. Escrcio de Almeida, who presented the results of this study at the recent 2nd Joint meeting of ESFFU, ESGURS and ESOU (EAU Section of Functional Urology, EAU Section of Genitourinary Reconstructive Surgeons and the EAU Section of Oncological Urology).

"This research improves our knowledge on the best surgical techniques for selected patients. If we prove that this kind of technical variation will improve the functional long-term outcomes, then we could do this kind of procedure with a greater confidence of better results in the future," he explained.

In the course of the study, epidemiological and clinical data were collected from our prospective database of all patients under 18 years old submitted to enterocystoplasty, between January of 1996 and December of 2011. Twenty five patients were submitted to enterocystoplasty (15 male). Twenty percent had an non neurogenic dysfunction (5 bladder exstrophy). Thirteen children (52 %) had vesicoureteral reflux (VUR) pre-operativelly. Four patients had chronic renal failure in hemodialysis in pre-transplant preparation. Radiological and urodynamic investigation was performed preoperatively and postoperatively.

In evaluating the procedure within the framework of this study, which involved a median follow-up period of 8 years, the authors recorded several instances of complications. Four patients developed vesico-cutaneous fistula that required open surgical management and one patient developed bladder lithiasis that was submitted to an endoscopic approach. At cut-off point, all patients were continent and 24 patients performed clean intermittent self-catheterisation.

"This research is the first step because in our effort to understand if this technical variation can improve the patients' outcomes. In the futre, we have to compare this cohort of patients with another in which a different surgical techinique was uses," summed up the lead author of the study. "Currently, we are preparing data to initiate such a study."


European Association of Urology

Related medicine news :

1. Study: Women not getting enough exercise; at risk of developing metabolic syndrome
2. Study: Insomnia takes toll on tinnitus patients
3. Study: No link between depression, nasal obstruction
4. Study: More Pre-Teens Get Vaccines When Middle Schools Require Them
5. Study: Kids Who Sleep in Parents Bed Less Likely to Be Overweight
6. OHSU study: Misdiagnosis of MS is costing health system millions per year
7. UW study: Sleep apnea associated with higher mortality from cancer
8. Study: Heart damage after chemo linked to stress in cardiac cells
9. STeleR study: Telerehab improves functioning after stroke
10. Study: Willingness to be screened for dementia varies by age but not by sex, race or income
11. Study: 21 percent of newly admitted nursing home residents sustain a fall during their stay
Post Your Comments:
(Date:6/26/2016)... ... June 26, 2016 , ... Pixel Film Studios Released ProSlice Levels, ... editors can give their videos a whole new perspective by using the title ... Pixel Film Studios. , ProSlice Levels contains over 30 Different presets to choose ...
(Date:6/25/2016)... TX (PRWEB) , ... June 25, 2016 , ... Austin ... of the American College of Mohs Surgery and to Dr. Russell Peckham for medical ... and highly effective treatment for skin cancer. The selective fellowship in Mohs Micrographic Surgery ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson has dedicated ... has implemented orthobiologic procedures as a method for treating his patients. The procedure ... doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons use to ...
(Date:6/24/2016)... ... June 24, 2016 , ... June 19, 2016 is ... associated with chronic pain and the benefits of holistic treatments, Serenity Recovery Center ... suffering with Sickle Cell Disease. , Sickle Cell Disease (SCD) is a disorder of ...
(Date:6/24/2016)... Diego, CA (PRWEB) , ... June 24, 2016 , ... ... with the American Cancer Society and the Road To Recovery® program to drive cancer ... to seniors and other adults to ensure the highest quality of life and ongoing ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016  Collagen Matrix, ... design, development and manufacturing of collagen and mineral ... announced today that Bill Messer has ... Marketing to further leverage the growing portfolio of ... devices. Bill joins the Collagen Matrix ...
(Date:6/24/2016)... , June 24, 2016   Bay ... Rehabilitation Network,s Dean Center for Tick Borne ... Medicine and Rehabilitation, MIT Hacking Medicine, University of ... Innovation, today announced the five finalists of ... Lyme disease.  More than 100 scientists, clinicians, researchers, ...
(Date:6/24/2016)... DUBLIN , June 24, 2016 ... addition of the "Structural Electronics 2015-2025: Applications, ... In-Mold Electronics, Smart ... Integrated Photovoltaics Structural electronics involves ... as load-bearing, protective structures, replacing dumb structures such ...
Breaking Medicine Technology: