Lower urinary tract dysfunction in pediatric patients after ureteroneocystostomy due to vesicoureteral reflux: Long‐term follow‐up
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Le résumé fourni par la source
OBJECTIVE: The aim of the present study was to evaluate long-term lower urinary tract dysfunction (LUTD) in pediatric patients who underwent ureteroneocystostomy due to vesicoureteral reflux. METHODS: The present retrospective study was performed on 61 patients. Patients were divided into 3 groups: Group 1 (n = 26), did not have LUTD; Group 2 (n = 23), had LUTD; and Group 3 (n = 12), was not toilet trained preoperatively. Patients were reassessed regarding de novo LUTD or the persistence of LUTD at least 7 years after the ureteroneocystostomy. RESULTS: Mean patient age was 7 years (range 1-15) when ureteroneocystostomy was performed and the surgery was associated with a 92% success rate. The mean follow-up period was 10 years (range 7-12 years). Postoperative LUTD was present in 6 (23%), 12 (52%), and 1 (8.3%) patients in Groups 1, 2, and 3, respectively. The presence of LUTD before surgery and bilateral repair in the same setting were predictive risk factors for the presence of LUTD during the long-term follow-up. LUTD occurred at higher rate in Group 2 than in Groups 1 and 3 (52% vs. 23% and 8.3%, respectively; P = .015). The presence of de novo LUTD was significant in Group 1 compared with the presence of preoperative and postoperative LUTD (P = .031, Wilcoxon analysis). CONCLUSIONS: LUTD may not resolve after a ureteroneocystostomy, and additional therapy could be necessary. Due to the probability of damage to the ureterovesical nerve and/or disturbed bladder dynamics, de novo LUTD may occur in patients with bilateral high-grade reflux without LUTD before a ureteroneocystostomy.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Lower urinary tract dysfunction in pediatric patients after ureteroneocystostomy due to vesicoureteral reflux: Long‐term follow‐up
- Date Crossref
- 11/01/2018
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Şişli Etfal Eğitim ve Araştırma Hastanesi pays non établi dans la noticeÉtablissement de santé
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Sivas State Hospital pays non établi dans la noticeÉtablissement de santé
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Mersin Üniversitesi pays non établi dans la noticeUniversité ou école supérieure
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Urology Department Sisli Hamidiye Etfal Training and Research Hospital Istanbul Turkey Urology Department pays non établi dans la noticeÉtablissement de santé
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Urology Department Idil State Hospital Sirnak Turkey Urology Department pays non établi dans la noticeÉtablissement de santé
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Urology Department Mersin City Hospital Mersin Turkey Urology Department pays non établi dans la noticeÉtablissement de santé
Şişli Etfal Eğitim ve Araştırma Hastanesi, Sivas State Hospital et Mersin Üniversitesi, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.