Outcomes and Quality of Life of Adults Undergoing Continent Catheterizable Vesicostomy for Neurogenic Bladder - 09/08/11
Reprint requests: Patrick P. W. Luke, M.D., London Health Sciences Centre, University Campus, 339 Windermere Road, London, ON N6A 5A5 Canada.Résumé |
Objectives |
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.
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Vol 70 - N° 3
P. 454-458 - septembre 2007 Retour au numéro
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