Cystectomy for Neurogenic Bladder

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• 作者：Elizabeth Timbrook Brown ; Joshua A. Cohn…
• 关键词：Cystectomy ; Urinary diversion ; Complications ; Neurogenic bladder
• 刊名：Current Bladder Dysfunction Reports
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：11
• 期：4
• 页码：341-345
• 全文大小：264 KB
• 刊物主题：Urology/Andrology;
• 出版者：Springer US
• ISSN：1931-7220
• 卷排序：11

文摘

Patients with a myriad of neurologic conditions can develop urinary symptoms as a result of impaired bladder function. Conservative management options for neurogenic bladder (NGB) may include catheterization and medical therapy. However, refractory individuals may require more aggressive intervention such as onabotulinumtoxinA injections or bladder augmentation. As a last resort, urinary diversion may be indicated for end-stage lower urinary tract dysfunction secondary to NGB. Urinary diversion may be performed with or without cystectomy. However, leaving the defunctionalized bladder in situ may lead to pyocystis, secondary carcinoma, or pain. As a result, there has been an increasing trend to perform a concomitant cystectomy at the time of urinary diversion. While this eliminates the sequelae of the retained bladder, performing a cystectomy at the time of urinary diversion can also increase the morbidity of the procedure.