Ileal Continent Reservoir: A Feasible Option for Bladder Augmentation and Urinary Diversion
To present the results of technique of continent urinary diversion, described by Macedo, that allows the configuration of a tunnel with a flap of the ileal tube at the same segment created for the reservoir. From January 2006 to November 2016, 29 patients were underwent a urinary diversion by Macedo...
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| Veröffentlicht in: | Urology (Ridgewood, N.J.) N.J.), 2018-10, Vol.120, p.253-257 |
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| creator | Tavares, Patric Machado Smaniotto, Guilherme Pereira Bortolini, Tiago Rosito, Nicolino Cesar Neto, Brasil Silva Rosito, Tiago Elias |
| description | To present the results of technique of continent urinary diversion, described by Macedo, that allows the configuration of a tunnel with a flap of the ileal tube at the same segment created for the reservoir.
From January 2006 to November 2016, 29 patients were underwent a urinary diversion by Macedo's technique. Patients' demographics, hospitalization time, surgical time, follow up, continence rate, reservoir capacity, and postoperative complications were evaluated.
Sixty-nine percent were male and the median age was 16.9 years. The main etiology was meningomyelocele (69.1%). The mean surgical time was 4.2 hours (standard deviation [SD] 0.9 range 2.9-6.3). The median length of hospital stay was 10 days (interquartile range: 11.3 range 5-51). The mean follow up was 3.3 years (SD 2.2 range 0.3-9.8). Procedure in the bladder neck was performed in 12 patients (41.3%). A continence rate of the catheterizable conduit was 82.8%.The reservoir capacity increased from 134.4 to 364.4 ml (P |
| doi_str_mv | 10.1016/j.urology.2018.06.016 |
| format | Article |
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From January 2006 to November 2016, 29 patients were underwent a urinary diversion by Macedo's technique. Patients' demographics, hospitalization time, surgical time, follow up, continence rate, reservoir capacity, and postoperative complications were evaluated.
Sixty-nine percent were male and the median age was 16.9 years. The main etiology was meningomyelocele (69.1%). The mean surgical time was 4.2 hours (standard deviation [SD] 0.9 range 2.9-6.3). The median length of hospital stay was 10 days (interquartile range: 11.3 range 5-51). The mean follow up was 3.3 years (SD 2.2 range 0.3-9.8). Procedure in the bladder neck was performed in 12 patients (41.3%). A continence rate of the catheterizable conduit was 82.8%.The reservoir capacity increased from 134.4 to 364.4 ml (P <.0001). The continence rate improved significantly (20 vs 74%, P <.0001). There was no change in glomerular filtration rates in the long term (143.1 vs 147, P = .45). Morbidity rate was 58% (25 complications in 17 patients), 72% occurred within the first 60 days and 60% were classified as Clavien-Dindo I or II.
Except for publications from the original author, this is the first series described. The outcomes are similar, adding important data with respect to this technique. They show that the ileal reservoir is feasible, reproducible, and with good results.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/j.urology.2018.06.016</identifier><identifier>PMID: 29958971</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Child ; Child, Preschool ; Colon, Sigmoid - surgery ; Female ; Follow-Up Studies ; Humans ; Ileum - surgery ; Length of Stay - statistics & numerical data ; Male ; Meningomyelocele - surgery ; Middle Aged ; Operative Time ; Postoperative Complications ; Retrospective Studies ; Urinary Diversion - methods ; Urinary Reservoirs, Continent ; Young Adult</subject><ispartof>Urology (Ridgewood, N.J.), 2018-10, Vol.120, p.253-257</ispartof><rights>2018</rights><rights>Copyright © 2018. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-36e4001a4fe3266de03899ff743981d07db4f82cb69c8971ae970dc170d3df813</citedby><cites>FETCH-LOGICAL-c365t-36e4001a4fe3266de03899ff743981d07db4f82cb69c8971ae970dc170d3df813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.urology.2018.06.016$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29958971$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tavares, Patric Machado</creatorcontrib><creatorcontrib>Smaniotto, Guilherme Pereira</creatorcontrib><creatorcontrib>Bortolini, Tiago</creatorcontrib><creatorcontrib>Rosito, Nicolino Cesar</creatorcontrib><creatorcontrib>Neto, Brasil Silva</creatorcontrib><creatorcontrib>Rosito, Tiago Elias</creatorcontrib><title>Ileal Continent Reservoir: A Feasible Option for Bladder Augmentation and Urinary Diversion</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><description>To present the results of technique of continent urinary diversion, described by Macedo, that allows the configuration of a tunnel with a flap of the ileal tube at the same segment created for the reservoir.
From January 2006 to November 2016, 29 patients were underwent a urinary diversion by Macedo's technique. Patients' demographics, hospitalization time, surgical time, follow up, continence rate, reservoir capacity, and postoperative complications were evaluated.
Sixty-nine percent were male and the median age was 16.9 years. The main etiology was meningomyelocele (69.1%). The mean surgical time was 4.2 hours (standard deviation [SD] 0.9 range 2.9-6.3). The median length of hospital stay was 10 days (interquartile range: 11.3 range 5-51). The mean follow up was 3.3 years (SD 2.2 range 0.3-9.8). Procedure in the bladder neck was performed in 12 patients (41.3%). A continence rate of the catheterizable conduit was 82.8%.The reservoir capacity increased from 134.4 to 364.4 ml (P <.0001). The continence rate improved significantly (20 vs 74%, P <.0001). There was no change in glomerular filtration rates in the long term (143.1 vs 147, P = .45). Morbidity rate was 58% (25 complications in 17 patients), 72% occurred within the first 60 days and 60% were classified as Clavien-Dindo I or II.
Except for publications from the original author, this is the first series described. The outcomes are similar, adding important data with respect to this technique. They show that the ileal reservoir is feasible, reproducible, and with good results.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Colon, Sigmoid - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Ileum - surgery</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Meningomyelocele - surgery</subject><subject>Middle Aged</subject><subject>Operative Time</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Urinary Diversion - methods</subject><subject>Urinary Reservoirs, Continent</subject><subject>Young Adult</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUMtu2zAQJIoWtZP2Exrw2IuUpShRYi6F4zxqwECAIDn1QNDkyqAhiy4pGfDfl3601152gdmZnd0h5BuDnAETt5t8DL7z60NeAGtyEHlCP5Apq4o6k1JWH8kUQEJWFrKakKsYNwAghKg_k0mR5o2s2ZT8WnSoOzr3_eB67Af6ihHD3rtwR2f0CXV0qw7py25wvqetD_S-09ZioLNxvU0CfRro3tL34HodDvTB7THEhH4hn1rdRfx66dfk_enxbf4zW748L-azZWa4qIaMCywBmC5b5IUQFoE3UrZtXXLZMAu1XZVtU5iVkOZ4tEZZgzUsFW7bhvFr8v28dxf87xHjoLYuGuw63aMfoypAFA2v-Ylanakm-BgDtmoX3DZdrRioY65qoy65qmOuCoRKaNLdXCzG1RbtP9XfIBPhx5mA6dG9w6CicdgbtC6gGZT17j8WfwCCQYxs</recordid><startdate>201810</startdate><enddate>201810</enddate><creator>Tavares, Patric Machado</creator><creator>Smaniotto, Guilherme Pereira</creator><creator>Bortolini, Tiago</creator><creator>Rosito, Nicolino Cesar</creator><creator>Neto, Brasil Silva</creator><creator>Rosito, Tiago Elias</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201810</creationdate><title>Ileal Continent Reservoir: A Feasible Option for Bladder Augmentation and Urinary Diversion</title><author>Tavares, Patric Machado ; Smaniotto, Guilherme Pereira ; Bortolini, Tiago ; Rosito, Nicolino Cesar ; Neto, Brasil Silva ; Rosito, Tiago Elias</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-36e4001a4fe3266de03899ff743981d07db4f82cb69c8971ae970dc170d3df813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Colon, Sigmoid - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Ileum - surgery</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Meningomyelocele - surgery</topic><topic>Middle Aged</topic><topic>Operative Time</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>Urinary Diversion - methods</topic><topic>Urinary Reservoirs, Continent</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tavares, Patric Machado</creatorcontrib><creatorcontrib>Smaniotto, Guilherme Pereira</creatorcontrib><creatorcontrib>Bortolini, Tiago</creatorcontrib><creatorcontrib>Rosito, Nicolino Cesar</creatorcontrib><creatorcontrib>Neto, Brasil Silva</creatorcontrib><creatorcontrib>Rosito, Tiago Elias</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tavares, Patric Machado</au><au>Smaniotto, Guilherme Pereira</au><au>Bortolini, Tiago</au><au>Rosito, Nicolino Cesar</au><au>Neto, Brasil Silva</au><au>Rosito, Tiago Elias</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ileal Continent Reservoir: A Feasible Option for Bladder Augmentation and Urinary Diversion</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>2018-10</date><risdate>2018</risdate><volume>120</volume><spage>253</spage><epage>257</epage><pages>253-257</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><abstract>To present the results of technique of continent urinary diversion, described by Macedo, that allows the configuration of a tunnel with a flap of the ileal tube at the same segment created for the reservoir.
From January 2006 to November 2016, 29 patients were underwent a urinary diversion by Macedo's technique. Patients' demographics, hospitalization time, surgical time, follow up, continence rate, reservoir capacity, and postoperative complications were evaluated.
Sixty-nine percent were male and the median age was 16.9 years. The main etiology was meningomyelocele (69.1%). The mean surgical time was 4.2 hours (standard deviation [SD] 0.9 range 2.9-6.3). The median length of hospital stay was 10 days (interquartile range: 11.3 range 5-51). The mean follow up was 3.3 years (SD 2.2 range 0.3-9.8). Procedure in the bladder neck was performed in 12 patients (41.3%). A continence rate of the catheterizable conduit was 82.8%.The reservoir capacity increased from 134.4 to 364.4 ml (P <.0001). The continence rate improved significantly (20 vs 74%, P <.0001). There was no change in glomerular filtration rates in the long term (143.1 vs 147, P = .45). Morbidity rate was 58% (25 complications in 17 patients), 72% occurred within the first 60 days and 60% were classified as Clavien-Dindo I or II.
Except for publications from the original author, this is the first series described. The outcomes are similar, adding important data with respect to this technique. They show that the ileal reservoir is feasible, reproducible, and with good results.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29958971</pmid><doi>10.1016/j.urology.2018.06.016</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Adult Child Child, Preschool Colon, Sigmoid - surgery Female Follow-Up Studies Humans Ileum - surgery Length of Stay - statistics & numerical data Male Meningomyelocele - surgery Middle Aged Operative Time Postoperative Complications Retrospective Studies Urinary Diversion - methods Urinary Reservoirs, Continent Young Adult |
| title | Ileal Continent Reservoir: A Feasible Option for Bladder Augmentation and Urinary Diversion |
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