Langetermijn follow-up van katheteriseerbare vesicostoma’s bij kinderen, een vergelijking van verschillende technieken

Pepijn D. Polm; Laetitia M.O. de Kort; Tom P.V.M. de Jong; P. Dik

doi:10.1007/s13629-016-0162-z

Langetermijn follow-up van katheteriseerbare vesicostoma’s bij kinderen, een vergelijking van verschillende technieken

Translated title of the contribution: Long-term follow up of continent catheterizable channels (CCC’s) in children, comparison of of different techniques

Pepijn D. Polm^*, Laetitia M.O. de Kort, Tom P.V.M. de Jong, P. Dik

^*Corresponding author for this work

Department of Urology

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

The objective of this study was to compare long-term results of the different techniques used to create continent catheterizable channels (CCC’s) in a single institution. Primary outcomes were revision free survival, stenosis and incontinence. A total of 117 CCC’s were included with median follow-up of 85 months. Surgical revision was required in 52% and laparotomy in 27% of cases. Stenosis requiring revision was seen in 33%. Complete revision was required in eight (7%) cases. A fausse route was formed in 9% of cases. A CCC is an elegant solution for children who experience problems with urethral catheterization. We found no significant differences in outcome between CCC’s from appendix or bladder flap, leading us to conclude that a bladder flap CCC is a good alternative solution if the appendix is not available and bladder volume is sufficient.

Translated title of the contribution	Long-term follow up of continent catheterizable channels (CCC’s) in children, comparison of of different techniques
Original language	Dutch
Pages (from-to)	27-30
Number of pages	4
Journal	Tijdschrift voor Urologie
Volume	8
Issue number	2-3
DOIs	https://doi.org/10.1007/s13629-016-0162-z
Publication status	Published - 23 Mar 2018

Keywords

children
continent catheterizable channel
neurogenic bladder

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title = "Langetermijn follow-up van katheteriseerbare vesicostoma{\textquoteright}s bij kinderen, een vergelijking van verschillende technieken",

abstract = "The objective of this study was to compare long-term results of the different techniques used to create continent catheterizable channels (CCC{\textquoteright}s) in a single institution. Primary outcomes were revision free survival, stenosis and incontinence. A total of 117 CCC{\textquoteright}s were included with median follow-up of 85 months. Surgical revision was required in 52% and laparotomy in 27% of cases. Stenosis requiring revision was seen in 33%. Complete revision was required in eight (7%) cases. A fausse route was formed in 9% of cases. A CCC is an elegant solution for children who experience problems with urethral catheterization. We found no significant differences in outcome between CCC{\textquoteright}s from appendix or bladder flap, leading us to conclude that a bladder flap CCC is a good alternative solution if the appendix is not available and bladder volume is sufficient.",

keywords = "children, continent catheterizable channel, neurogenic bladder",

author = "Polm, {Pepijn D.} and {de Kort}, {Laetitia M.O.} and {de Jong}, {Tom P.V.M.} and P. Dik",

year = "2018",

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doi = "10.1007/s13629-016-0162-z",

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AU - Polm, Pepijn D.

AU - de Kort, Laetitia M.O.

AU - de Jong, Tom P.V.M.

AU - Dik, P.

PY - 2018/3/23

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AB - The objective of this study was to compare long-term results of the different techniques used to create continent catheterizable channels (CCC’s) in a single institution. Primary outcomes were revision free survival, stenosis and incontinence. A total of 117 CCC’s were included with median follow-up of 85 months. Surgical revision was required in 52% and laparotomy in 27% of cases. Stenosis requiring revision was seen in 33%. Complete revision was required in eight (7%) cases. A fausse route was formed in 9% of cases. A CCC is an elegant solution for children who experience problems with urethral catheterization. We found no significant differences in outcome between CCC’s from appendix or bladder flap, leading us to conclude that a bladder flap CCC is a good alternative solution if the appendix is not available and bladder volume is sufficient.

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Langetermijn follow-up van katheteriseerbare vesicostoma’s bij kinderen, een vergelijking van verschillende technieken

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Keywords

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