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• W2095536905 abstract "No AccessJournal of UrologyPEDIATRIC UROLOGY1 Jan 2004Ureterocystoplasty: Indications for a Successful Augmentationis corrected byERRATUM D.A. HUSMANN, W.T. SNODGRASS, M.A. KOYLE, P.D. FURNESS, B.P. KROPP, E.Y. CHENG, W.E. KAPLAN, and S.A. KRAMER D.A. HUSMANND.A. HUSMANN More articles by this author , W.T. SNODGRASSW.T. SNODGRASS More articles by this author , M.A. KOYLEM.A. KOYLE Financial interest and/or other relationship with Q-Med and Bayer. More articles by this author , P.D. FURNESSP.D. FURNESS Financial interest and/or other relationship with Q-Med. More articles by this author , B.P. KROPPB.P. KROPP More articles by this author , E.Y. CHENGE.Y. CHENG More articles by this author , W.E. KAPLANW.E. KAPLAN More articles by this author , and S.A. KRAMERS.A. KRAMER More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000100800.69333.4dAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluate the outcome of ureterocystoplasty based on preoperative evaluations. Materials and Methods: We reviewed preoperative ultrasound, voiding cystourethrography and preoperative/postoperative urodynamic studies (UDS) in 64 patients undergoing ureterocystoplasty. Results: Augmentation was performed with the distal 5 to 8 cm of a single megaureter in 8 patients without and 16 with grade 4 to 5/5 reflux. Median gain or loss in capacity and compliance was +0.14-fold and −0.11-fold, respectively. Re-augmentation has occurred or is pending in 23 cases (92%). Augmentation was performed in 40 patients with either a complete single or double collecting system. In 9 patients without reflux the diameter of the augmenting system was directly related to success. None of 6 with a ureteral diameter of greater than 1.5 cm required re-augmentation (median increase in bladder capacity and compliance 6 and 50-fold, respectively). Ureterocystoplasty was inadequate in 3 patients with a ureteral diameter of less than 1.5 cm and re-augmentation was required. In 31 patients with reflux, preoperative UDS of the entire system was beneficial. If the system had either normal or mild noncompliance (greater than 20 ml/cm H2O) ureterocystoplasty improved compliance 1-fold (6 cases) and re-augmentation not required. If UDS showed moderately or severely noncompliant system (less than 20 ml/cm H2O, 26 cases) ureterocystoplasty increased capacity and compliance by 0.4-fold (40%) and 0.25-fold (25%), respectively. Re-augmentation has occurred or is pending in 21 of 26 cases (81%). Conclusions: Ureterocystoplasty with any single or double collecting system is warranted in patients without reflux and a ureteral width greater than 1.5 cm, and in patients with reflux and mild noncompliance (greater than 20 ml/cm H2O) on UDS. References 1 : Estimating bladder capacity in children. Urology1983; 21: 248. Google Scholar 2 : What volume can a child normally store in the bladder at a safe pressure?. J Urol1993; 149: 561. Link, Google Scholar 3 : Bladder augmentation: ureterocystoplasty versus ileocystoplasty. J Urol1994; 152: 716. Link, Google Scholar 4 : Initial surgical treatment as a determinant of bladder dysfunction in posterior urethral valves. Pediatr Surg Int2002; 18: 438. Google Scholar 5 : Guidelines to determine the size and shape of intestinal segments used for reconstruction. J Urol1988; 140: 1150. Link, Google Scholar 6 : Ureterocystoplasty: is it necessary to detubularize the distal ureter?. J Urol1998; 160: 851. 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Google Scholar From the Mayo Eugenio Litta Children’s Hospital, Rochester, Minnesota (DAH, SAK), Dallas Children’s Hospital, Dallas, Texas (WTS), Denver Children’s Hospital, Denver, Colorado (MAK, PDF), Oklahoma City Children’s Hospital, Oklahoma City, Oklahoma (BPK), and Children’s Memorial Hospital of Chicago, Chicago, Illinois (EYC, WEK).© 2004 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited bySnow-Lisy D, Yerkes E and Cheng E (2018) Update on Urological Management of Spina Bifida from Prenatal Diagnosis to AdulthoodJournal of Urology, VOL. 194, NO. 2, (288-296), Online publication date: 1-Aug-2015.Jung H, Lee H, Im Y, Lee Y, Hong C and Han S (2018) Prerequisite for Successful Surgical Outcome in Urothelium Lined Seromuscular ColocystoplastyJournal of Urology, VOL. 187, NO. 4, (1416-1421), Online publication date: 1-Apr-2012.Kajbafzadeh A, Farrokhi-Khajeh-Pasha Y, Ostovaneh M, Nezami B and Hojjat A (2018) Teapot Ureterocystoplasty and Ureteral Mitrofanoff Channel for Bilateral Megaureters: Technical Points and Surgical Results of Neurogenic BladderJournal of Urology, VOL. 183, NO. 3, (1168-1176), Online publication date: 1-Mar-2010.Johal N, Hamid R, Aslam Z, Carr B, Cuckow P and Duffy P (2018) Ureterocystoplasty: Long-Term Functional ResultsJournal of Urology, VOL. 179, NO. 6, (2373-2376), Online publication date: 1-Jun-2008.Frimberger D, Klein J and Kropp B (2007) The Common Ileal Ureter: A New Technique for Compliant UreterocystoplastyJournal of Urology, VOL. 178, NO. 4S, (1819-1823), Online publication date: 1-Oct-2007.Podestá M, Barros D, Herrera M and Castera R (2018) Ureterocystoplasty: Videourodynamic AssessmentJournal of Urology, VOL. 176, NO. 4S, (1721-1725), Online publication date: 1-Oct-2006.Related articlesJournal of Urology9 Nov 2018ERRATUM Volume 171Issue 1January 2004Page: 376-380 Advertisement Copyright & Permissions© 2004 by American Urological Association, Inc.Keywordsurodynamicsvesico-ureteral refluxneurogenic bladderurethral diseaseMetricsAuthor Information D.A. HUSMANN More articles by this author W.T. SNODGRASS More articles by this author M.A. KOYLE Financial interest and/or other relationship with Q-Med and Bayer. More articles by this author P.D. FURNESS Financial interest and/or other relationship with Q-Med. More articles by this author B.P. KROPP More articles by this author E.Y. CHENG More articles by this author W.E. KAPLAN More articles by this author S.A. KRAMER More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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