Use of an Inflatable Silicone Balloon Improves the Success Rate of Bladder Autoaugmentation at Long-Term Followup

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorROCHA, Flavio Trigo
dc.contributor.authorBRUSCHINI, Homero
dc.contributor.authorFIGUEIREDO, Jose Alaor
dc.contributor.authorMACHADO, Marcos Gianetti
dc.contributor.authorGOMES, Cristiano Mendes
dc.contributor.authorMASCARENHAS, Frederico
dc.contributor.authorSROUGI, Miguel
dc.date.accessioned2017-11-27T16:20:43Z
dc.date.available2017-11-27T16:20:43Z
dc.date.issued2011
dc.description.abstractPurpose: Most groups have reported disappointing results with autoaugmentation or detrusor myectomy for low capacity/compliance neuropathic bladders. Failure may be due to an ischemic diverticulum or mucosal shrinkage. We investigated whether a Silimed (R) silicone balloon placed in the bladder after autoaugmentation could prevent these problems, improving surgical results. Materials and Methods: We compared the results of standard bladder autoaugmentation in 12 children (group 1) with those in 10 (group 2) who underwent the same surgery using a bladder conformer. The conformer was a silicone balloon filled with saline that remained in the bladder for 2 weeks. All patients had a neuropathic bladder with poor capacity and compliance, resulting in urinary leakage between catheterizations. Preoperative and postoperative evaluation included a voiding diary, ultrasound, voiding cystourethrogram and urodynamics. Results: In group 1 only 1 patient became dry, 4 had little improvement in continence, 4 remained unchanged and 3 became worse. In group 2, 6 patients (60%) become continent without medication, 2 (20%) become continent with oxybutynin and 2 remained unchanged. Bladder capacity and compliance did not change significantly in group 1. However, in group 2 capacity changed from a mean of 140 to 240 ml and mean +/- SD compliance increased from 15.6 +/- 16.8 to 34.3 +/- 22.8 ml/cm H(2)O (p = 0.02). Conclusions: The inflatable balloon improved our long-term results of bladder auto-augmentation. A larger series may be necessary to confirm procedure efficacy and safety.
dc.description.indexMEDLINE
dc.identifier.citationJOURNAL OF UROLOGY, v.185, n.6, suppl.1, p.2576-2581, 2011
dc.identifier.doi10.1016/j.juro.2011.01.029
dc.identifier.issn0022-5347
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/22497
dc.language.isoeng
dc.publisherELSEVIER SCIENCE INC
dc.relation.ispartofJournal of Urology
dc.rightsrestrictedAccess
dc.rights.holderCopyright ELSEVIER SCIENCE INC
dc.subjecturinary bladder, neurogenic
dc.subjectballoon dilatation
dc.subjectmeningomyelocele
dc.subjectabnormalities
dc.subjecturinary incontinence
dc.subject.otherearly clinical-experience
dc.subject.otherauto-augmentation
dc.subject.othermyelodysplastic children
dc.subject.wosUrology & Nephrology
dc.titleUse of an Inflatable Silicone Balloon Improves the Success Rate of Bladder Autoaugmentation at Long-Term Followup
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalMACHADO, Marcos Gianetti:Univ Sao Paulo, Sch Med, Div Urol, Sao Paulo, Brazil
hcfmusp.author.externalMASCARENHAS, Frederico:Univ Sao Paulo, Sch Med, Div Urol, Sao Paulo, Brazil
hcfmusp.citation.scopus13
hcfmusp.contributor.author-fmusphcFLAVIO EDUARDO TRIGO ROCHA
hcfmusp.contributor.author-fmusphcHOMERO BRUSCHINI
hcfmusp.contributor.author-fmusphcJOSE ALAOR DE FIGUEIREDO
hcfmusp.contributor.author-fmusphcCRISTIANO MENDES GOMES
hcfmusp.contributor.author-fmusphcMIGUEL SROUGI
hcfmusp.description.beginpage2576
hcfmusp.description.endpage2581
hcfmusp.description.issue6
hcfmusp.description.issuesuppl 1
hcfmusp.description.volume185
hcfmusp.origemWOS
hcfmusp.origem.pubmed21527198
hcfmusp.origem.scopus2-s2.0-79955816790
hcfmusp.origem.wosWOS:000290395300048
hcfmusp.publisher.cityNEW YORK
hcfmusp.publisher.countryUSA
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