Outcomes and quality of life of adults undergoing continent catheterizable vesicostomy for neurogenic bladder.

Abstract

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.

• Authors: Naji J Touma, David Horovitz, Akshay Shetty, Yves Caumartin, Jorge De Maria, Patrick P W Luke
• Journal: Urology (Urology) Vol. 70 Issue 3 Pg. 454-8 (Sep 2007) ISSN: 1527-9995 [Electronic] United States
• PMID: 17707889 (Publication Type: Evaluation Study, Journal Article)

Topics

• Adolescent
• Adult
• Cystostomy (methods, psychology, statistics & numerical data)
• Female
• Humans
• Ileum
• Middle Aged
• Patient Satisfaction
• Postoperative Complications (epidemiology)
• Quality of Life
• Retrospective Studies
• Self Care
• Social Adjustment
• Treatment Outcome
• Urinary Bladder, Neurogenic (complications, psychology, surgery)
• Urinary Catheterization (psychology)
• Urinary Tract Infections (epidemiology, etiology, prevention & control)