Bladder augmentation and urinary diversion for neurogenic LUTS

Current indications

Kamran Sajadi, Howard B. Goldman

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Augmentation cystoplasty and urinary diversion are no longer commonplace in the management of patients with neurogenic bladder, but remain an important surgical treatment for those with refractory LUTS who have failed neuromodulation and onabotulinum toxin treatment or who are not candidates for those treatments. Augmentation is an option in patients who can perform intermittent catheterization and is usually performed with ileum or large intestine. Some patients benefit from continent cutaneous catherizable channels. Supravesical urinary diversion may be necessary in more severe cases. Ileovesicostomies are being supplanted by indwelling suprapubic catheters, and when catheters fail conduits may be a better option. When feasible, the diverted bladder should be excised to avoid pyocystis.

Original languageEnglish (US)
Pages (from-to)389-393
Number of pages5
JournalCurrent Urology Reports
Volume13
Issue number5
DOIs
StatePublished - Oct 2012

Fingerprint

Urinary Diversion
Urinary Bladder
Neurogenic Urinary Bladder
Indwelling Catheters
Large Intestine
Ileum
Catheterization
Therapeutics
Catheters
Skin

Keywords

  • Continent
  • Multiple sclerosis
  • Neurogenic
  • Spinal cord injury
  • Urinary bladder
  • Urinary catheterization
  • Urinary diversion
  • Urinary incontinence
  • Urinary reservoirs

ASJC Scopus subject areas

  • Urology

Cite this

Bladder augmentation and urinary diversion for neurogenic LUTS : Current indications. / Sajadi, Kamran; Goldman, Howard B.

In: Current Urology Reports, Vol. 13, No. 5, 10.2012, p. 389-393.

Research output: Contribution to journalArticle

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