Long-term results of clam enterocystoplasty in non-neurogenic refractory urge incontinence
Urologia Journal, cilt.91, sa.1, ss.194-198, 2024 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 91 Sayı: 1
- Basım Tarihi: 2024
- Doi Numarası: 10.1177/03915603231204088
- Dergi Adı: Urologia Journal
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier
- Sayfa Sayıları: ss.194-198
- Anahtar Kelimeler: enterocystoplasty, non-neurogenous, refractory, Urge urinary incontinance
- Ankara Yıldırım Beyazıt Üniversitesi Adresli: Evet
Özet
Objectives: This study aims to assess the efficacy of Clam enterocystoplasty (CECP) surgery for the treatment of non-neurogenic refractory urgency urinary incontinence (UUI). Methods: We conducted a retrospective evaluation of 17 female patients who underwent CECP for non-neurogenic refractory UUI between May 2010 and November 2022. Results: The median of ICIQ-SF was 19 (15–21) before treatment, which decreased to a median of 0 (0–5) after treatment (p = 0.01). The average preoperative pad use among the participants was 4 (3–6), while it became 0 postoperatively (p < 0.01). The median preoperative cystometric bladder capacity was 251 ml (100–350 ml), increasing to 456 ml (400–650 ml) postoperatively (p < 0.01). According to the Clavien-Dindo classification system, the majority of patients experienced either no complications (66%) or minor complications (CD I/CD II) (33%) within the initial 90 days following surgery. Conclusions: “Clam” iliocystoplasty emerges as a secure and successful treatment option in the patient group whose symptoms persist after first, second, and third-line treatments with the diagnosis of urge incontinence.