SUNUM ÖZETİ |
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| Tür: Tartışmalı Poster | Yazarlar: Ä°lhami SÃœRER, Bahadır ÇALIÅžKAN, S.Waisullah PADHSHAH,Cüneyt ATABEK, Ahmet GUVEN, Suzi DEMÄ°RBAÄž |
| EFFICACY OF BULKING AGENTS TO ACHIEVE CONTINENCE AFTER FAILED BLADDER NECK REPAIR IN EXSTROPHY PATIENTS | EFFICACY OF BULKING AGENTS TO ACHIEVE CONTINENCE AFTER FAILED BLADDER NECK REPAIR IN EXSTROPHY PATIENTS |
| Gülhane Askeri Tıp Akademisi, Çocuk Cerrahisi AD | Department of Pediatric Surgery, Gülhane Military Medical Academy, Ankara - TURKEY |
Background: To evaluate the efficacy of bladder neck injectionwith a bulking agent in patientswith failed bladder neck repair in exstrophy patients. Methods: From January 2000 to October 2007, 9 exstrophy children were treated for incontinence due to failed bladder neck repair by endoscopic submucosal bladder neck injection technique with a bulking agent. The median age was 9 years(7-16 years). The procedure was performed as an out-patient procedure. The follow –up assessment of the continence was performed by voiding charts, urodynamic evaluation and VCUG. The mean follow-up period was 38 months (6-72months). Results: after single injection, at 3-months follow-up 7 of the 9 patients were dry completely and overall success rate was 77.7% . The median injected volume was 7 ml (5-10 ml). Overall success rate decreased to 55.5 % at the end of one year followup. Three years after the injection achieved success rate decreased to 22.2%. There was no complication related to the injection during follow-up period Conclusion: treatment of incontinence in exstrophy patients that previously failed bladder neck repair can not be managed successfully by endoscopic submucosal injection technique. |
Background: To evaluate the efficacy of bladder neck injectionwith a bulking agent in patientswith failed bladder neck repair in exstrophy patients. Methods: From January 2000 to October 2007, 9 exstrophy children were treated for incontinence due to failed bladder neck repair by endoscopic submucosal bladder neck injection technique with a bulking agent. The median age was 9 years(7-16 years). The procedure was performed as an out-patient procedure. The follow –up assessment of the continence was performed by voiding charts, urodynamic evaluation and VCUG. The mean follow-up period was 38 months (6-72months). Results: after single injection, at 3-months follow-up 7 of the 9 patients were dry completely and overall success rate was 77.7% . The median injected volume was 7 ml (5-10 ml). Overall success rate decreased to 55.5 % at the end of one year followup. Three years after the injection achieved success rate decreased to 22.2%. There was no complication related to the injection during follow-up period Conclusion: treatment of incontinence in exstrophy patients that previously failed bladder neck repair can not be managed successfully by endoscopic submucosal injection technique. |