Hofmann, Aybike and Ioannou, Alexandros and Zoehrer, Pirmin Irenaeus and Roesch, Wolfgang H. (2023) Ureterocystoplasty in Boys with Valve Bladder Syndrome-Is This Method Still up to Date? CHILDREN-BASEL, 10 (4): 692. ISSN , 2227-9067
Full text not available from this repository. (Request a copy)Abstract
Boys with valve bladder syndrome (PUV) require adequate treatment of the lower urinary tract to preserve renal function and improve long-term outcomes. In some patients, further surgery may be necessary to improve bladder capacity and function. Ureterocytoplasty (UCP) is usually carried out with a small segment of intestine or, alternatively, with a dilated ureter. Our aim was to evaluate the long-term outcomes after UCP in boys with PUV. UCP had been performed in 10 boys with PUV at our hospital (2004-2019). Pre- and postoperative data were evaluated in relation to kidney and bladder function, the SWRD score, additional surgery, complications, and long-term follow-up. The mean time between primary valve ablation and UCP was 3.5 years (SD +/- 2.0). The median follow-up time was 64.5 months (IQR 36.0-97.25). The mean increase in age-adjusted bladder capacity was 25% (from 77% (SD +/- 0.28) to 102% (SD +/- 0.46)). Eight boys micturated spontaneously. Ultrasounds showed no severe hydronephrosis (grade 3-4). The SWRD score showed a median decrease from 4.5 (range 2-7) to 3.0 (range 1-5). No conversion of augmentation was required. UCP is a safe and effective approach to improve bladder capacity in boys with PUV. In addition, the possibility of micturating naturally is still maintained.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | POSTERIOR URETHRAL VALVES; AUGMENTATION; ABLATION; posterior urethral valves; urinary diversion; bladder augmentation; congenital lower urinary tract obstruction; kidney function; long-term outcome |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Urologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 10 Mar 2024 13:27 |
| Last Modified: | 10 Mar 2024 13:27 |
| URI: | https://pred.uni-regensburg.de/id/eprint/59584 |
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