Cystoplastie d'augmentation et catheterisme intermittent dans les vessies neurogenes

ABSTRACT

An enterocystoplasty was done on 17 paraplegic adults patients [beit chahab hospital for handicapped] with hyperreflexic neurogenic bladder secondary to an accident of the supra-sacral medulla. These patients were incontinent, had urinary tract infections, vesico-renal reflux or autonomic dysreflexia. Detubularised ileum was used in 16 cases and sigmoid in one. Ureteral reimplantation was performed on one patient; implantation of an artificial urinary sphincter for one patient and an injection of a periurethral teflonpaste was also done for one patient. After 16 months of follow-up all patients are continent on self intermittent catheterization. The upper urinary tract is stable or improved. No antonomic dysreflexia. Thirteen patients have an asymptomatic untreated bacteriuria