IR@PKUHSC  > 北京大学临床肿瘤学院  > 泌尿外科
学科主题临床医学
Should simultaneous ureteral reimplantation be performed during sigmoid bladder augmentation to reduce vesicoureteral reflux in neurogenic bladder cases?
Zhang, Peng1; Yang, Yong2; Wu, Zhi-jin1; Zhang, Ning2; Zhang, Chao-hua1; Zhang, Xiao-dong1
关键词Sigmoid bladder augmentation Neurogenic bladder Vesico-ureteral reflux Video urodynamics study
刊名INTERNATIONAL UROLOGY AND NEPHROLOGY
2015-05-01
DOI10.1007/s11255-015-0958-4
47期:5页:759-764
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Urology & Nephrology
研究领域[WOS]Urology & Nephrology
关键词[WOS]NEUROPATHIC BLADDER ; CHILDREN ; MYELODYSPLASIA ; CYSTOPLASTY ; RESOLUTION
英文摘要

To assess the necessity of performing simultaneous collateral reimplantation during sigmoid bladder augmentation (SBA) to reduce vesicoureteral reflux (VUR) in low-compliance neuropathic bladder with associated VUR.

We retrospectively identified 31 patients who underwent SBA alone or with simultaneous ureteral reimplantation at our hospital. The video urodynamics data, VUR status, renal function, and clinical symptoms were studied during follow-up.

The mean follow-up time was 57 months (range 12-117). All patients displayed significantly increased safe cystometric capacity (P < 0.001) and bladder compliance (P < 0.001) and decreased creatinine (P < 0.01) and urea nitrogen (P < 0.05) compared with preoperative levels. High-grade VUR was resolved in only 7 of 15 patients (47 %) in Group A (simultaneous ureteral reimplantation), whereas low-grade VUR was resolved in 13 of 16 patients (81 %) in Group B (SBA alone). The other 11 patients still displaying VUR after SBA had larger safe bladder volumes due to augmentation. The patients′ improving renal function benefited most from the enlarged bladder and partly from increased antireflux resistance of vesico-ureter anastomosis. Twelve (38.7 %) had recurrent febrile urinary tract infection after SBA, and one (3.2 %) suffered from vesico-ureter anastomosis contracture after ureteral reimplantation.

A preoperative intravesical VUR pressure of 20 cmH(2)O is not an effective cutoff point for whether ureteral reimplantation should be simultaneously performed during SBA. Augmentation appears to be more important than reimplantation for protecting kidney from damage due to febrile urinary tract infection after SBA. Simultaneous reimplantation may be not necessary during SBA in neurogenic bladder.

语种英语
WOS记录号WOS:000353826400009
引用统计
被引频次:1[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/62175
专题北京大学临床肿瘤学院_泌尿外科
作者单位1.Capital Med Univ, Beijing Chao Yang Hosp, Dept Urol, Beijing 100020, Peoples R China
2.Peking Univ, Beijing Tumor Hosp, Dept Urol, Beijing 100871, Peoples R China
推荐引用方式
GB/T 7714
Zhang, Peng,Yang, Yong,Wu, Zhi-jin,et al. Should simultaneous ureteral reimplantation be performed during sigmoid bladder augmentation to reduce vesicoureteral reflux in neurogenic bladder cases?[J]. INTERNATIONAL UROLOGY AND NEPHROLOGY,2015,47(5):759-764.
APA Zhang, Peng,Yang, Yong,Wu, Zhi-jin,Zhang, Ning,Zhang, Chao-hua,&Zhang, Xiao-dong.(2015).Should simultaneous ureteral reimplantation be performed during sigmoid bladder augmentation to reduce vesicoureteral reflux in neurogenic bladder cases?.INTERNATIONAL UROLOGY AND NEPHROLOGY,47(5),759-764.
MLA Zhang, Peng,et al."Should simultaneous ureteral reimplantation be performed during sigmoid bladder augmentation to reduce vesicoureteral reflux in neurogenic bladder cases?".INTERNATIONAL UROLOGY AND NEPHROLOGY 47.5(2015):759-764.
条目包含的文件
条目无相关文件。
个性服务
推荐该条目
保存到收藏夹
查看访问统计
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Zhang, Peng]的文章
[Yang, Yong]的文章
[Wu, Zhi-jin]的文章
百度学术
百度学术中相似的文章
[Zhang, Peng]的文章
[Yang, Yong]的文章
[Wu, Zhi-jin]的文章
必应学术
必应学术中相似的文章
[Zhang, Peng]的文章
[Yang, Yong]的文章
[Wu, Zhi-jin]的文章
相关权益政策
暂无数据
收藏/分享
所有评论 (0)
暂无评论
 

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。