Abstract | PURPOSE: MATERIALS AND METHODS: RESULTS: A total of 26 patients (22 female) with secondary progressive multiple sclerosis underwent 15 ileovesicostomy, 7 enterocystoplasty and 4 ileal loop procedures. All patients had significant neurological impairment (mean Expanded Disability Status Scale 7), and the most common indications for surgery were chronic urinary tract infection (77%) and refractory incontinence (77%). Maximum preoperative bladder capacity was 185 cc and mean bladder compliance was 5.7 cc/cm H(2)O. After a mean followup of 16 months 63% of patients were continent (p = 0.01) and 58% had no further urinary tract infections (p = 0.03). The type of diversion/reconstruction was not associated with significantly improved continence or urinary tract infection reduction. No new upper tract changes developed in any patients. There were 11 high grade complications, and patients with a preoperative indwelling catheter (HR 5.89, p = 0.024), diabetes (HR 5.60, p = 0.009) and increasing blood loss during surgery (HR 1.09, p = 0.014) were at greatest risk for significant complications. CONCLUSIONS:
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Authors | Jessica DeLong, Hocine Tighiouart, John Stoffel |
Journal | The Journal of urology
(J Urol)
Vol. 185
Issue 6
Pg. 2201-6
(Jun 2011)
ISSN: 1527-3792 [Electronic] United States |
PMID | 21497848
(Publication Type: Journal Article)
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Copyright | Copyright © 2011 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved. |
Topics |
- Chronic Disease
- Female
- Humans
- Male
- Multiple Sclerosis, Chronic Progressive
(complications)
- Postoperative Complications
(epidemiology)
- Retrospective Studies
- Urinary Diversion
- Urinary Incontinence
(etiology, surgery)
- Urinary Tract Infections
(etiology, surgery)
- Urologic Surgical Procedures
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