URODYNAMIC AND CLINICAL FOLLOW-UP OF 28 CHILDREN AFTER GASTROCYSTOPLASTY

被引:21
作者
BOGAERT, GA [1 ]
MEVORACH, RA [1 ]
KOGAN, BA [1 ]
机构
[1] UNIV CALIF SAN FRANCISCO,SCH MED,DEPT UROL,SAN FRANCISCO,CA 94143
来源
BRITISH JOURNAL OF UROLOGY | 1994年 / 74卷 / 04期
关键词
GASTROCYSTOPLASTY; CHILDREN; FOLLOW-UP; HISTOLOGY; QUALITY OF LIFE; TECHNIQUE;
D O I
10.1111/j.1464-410X.1994.tb00425.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objectives To determine the efficacy of gastrocystoplasty in creating a large and compliant urinary reservoir. Patients and methods Twenty-eight children (14 boys, 14 girls), with a median age of 9 years (range 4-17), were evaluated before and for a median of 2 years and 5 months after gastrocystoplasty. Evaluation included urodynamic and renal function studies and a survey of their post-operative complications and their sense of well-being. Renal function was assessed by ultrasound and serum creatinine, and electrolytes were measured. Results After gastrocystoplasty bladder size increased, compliance improved, hydronephrosis decreased or was stable, and renal function remained stable. There were minimal complications and the children's subjective impression of their well-being was markedly improved. Conclusion Gastrocystoplasty, using our surgical technique, is a reliable method of creating a large and compliant urinary reservoir. Advantages include the absence of clinical urinary tract infections, the absence of mucus and the preservation of renal function. Complications, such as haematuria, dysuria and hypochloraemic alkalosis, might be avoided by excluding the antrum from the gastrocystoplasty, maintaining the child on a normal salt-containing diet, employing catheterization or buffering the urine in children with normal urethral sensation.
引用
收藏
页码:469 / 475
页数:7
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