Augmentation enterocystoplasty for the management of voiding dysfunction in spinal cord injury patients

A. A. Sidi, E. F. Becher, P. K. Reddy, D. D. Dykstra

Research output: Contribution to journalArticle

39 Scopus citations

Abstract

A total of 12 spinal cord injury adults underwent augmentation enterocystoplasty for treatment of a high pressure neurogenic bladder. These patients suffered from urinary incontinence, recurrent urinary tract infection, upper tract deterioration and severe autonomic dysreflexia. A sigmoid colon segment fashioned into a cup-patch was used in 11 patients and detubularized cecum was used in 1. The artificial urinary sphincter was implanted in 3 patients at augmentation enterocystoplastyand in 1 after enterocystoplasty. After a mean followup of 15 months all patients were continent on clean intermittent self-catheterization, the upper tract had remained stable or had improved and the symptoms of autonomic dysreflexia had disappeared. A third of the patients are on maintenance antibiotic therapy to control bacteriuria.

Original languageEnglish (US)
Pages (from-to)83-85
Number of pages3
JournalJournal of Urology
Volume143
Issue number1
DOIs
StatePublished - 1990

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