Cystectomy for Neurogenic Bladder View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-12

AUTHORS

Elizabeth Timbrook Brown, Joshua A. Cohn, Melissa R. Kaufman, Douglas Milam, Roger R. Dmochowski, W. Stuart Reynolds

ABSTRACT

Patients with a myriad of neurologic conditions can develop urinary symptoms as a result of impaired bladder function. Conservative management options for neurogenic bladder (NGB) may include catheterization and medical therapy. However, refractory individuals may require more aggressive intervention such as onabotulinumtoxinA injections or bladder augmentation. As a last resort, urinary diversion may be indicated for end-stage lower urinary tract dysfunction secondary to NGB. Urinary diversion may be performed with or without cystectomy. However, leaving the defunctionalized bladder in situ may lead to pyocystis, secondary carcinoma, or pain. As a result, there has been an increasing trend to perform a concomitant cystectomy at the time of urinary diversion. While this eliminates the sequelae of the retained bladder, performing a cystectomy at the time of urinary diversion can also increase the morbidity of the procedure. More... »

PAGES

341-345

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11884-016-0389-9

DOI

http://dx.doi.org/10.1007/s11884-016-0389-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1005001553


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