Can transient resting of the bladder with vesicostomy reduce the need for major surgery in some patients?
Journal of Pediatric Urology Apr 08, 2019
Sharifiaghdas F, et al. - In this retrospective study, researchers examined 64 boys and 16 girls to estimate the long-term consequences and complications of cutaneous vesicostomy among cases in an 11-year period. They recorded 23 cases with neurogenic bladder whereas 17 had intact neuronal pathway (dysfunctional voiding). They noted 15 candidates younger than 6 months of age with primary bilateral high-grade vesico-ureteral reflux (VUR) and urosepsis. They observed cure of 95% in urinary tract infection, 80.7% in secondary VUR and 40% in primary VUR. They suggested vesicostomy in children with neuropathic bladder or bladder outlet obstruction in case of failure of first-line treatment.
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