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The effects of etiological factors on the results of augmentation enterocystoplasty: spinal cord injuries versus chronic tuberculosis cystitis

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Author(s): Umut Gönülalan | Murat Koşan | Bülent Öztürk | Özgür Akdemir | Gürdal İnal | Mesut Çetinkaya

Journal: Turkish Journal of Urology
ISSN 1300-5804

Volume: 38;
Issue: 3;
Start page: 154;
Date: 2012;
Original page

Keywords: Spinal cord injuries | urinary bladder | urodynamics | urogenital tuberculosis.

ABSTRACT
Objective: In our study, we aimed to compare the cystometric and clinic results of patients who underwent augmentation cystoplasty for the treatment of a contracted bladder, according to etiological factors such as chronic tuberculosis cystitis (CTC) and spinal cord injuries (SCIs).Materials and methods: We retrospectively evaluated 26 patients with a contracted bladder due to CTC and SCI who underwent bladder augmentation in our clinic. The contracted bladder etiologies were SCI in 16 of patients (61.5%) and TBC in the remaining 10 patients (38.4%). The patients were evaluated preoperatively and postoperatively.Results: The mean follow-up periods for patients with SCI and CTC were 98.5±31.3 and 83.2±35.3 months, respectively (p>0.05). Patients with SCI and CTC did not significantly differ with respect to the preoperative and postoperative mean bladder capacities or intravesical pressures. As additional postoperative treatments, Clean Intermittent Self-Catheterization (CISC) was performed in 5 (31.2%) SCI patients, and anticholinergic treatment was administered to 3 SCI patients (18.7%). Anticholinergic treatment was used postoperatively in only one patient with CTC (10%). Conclusion: Augmentation cystoplasty is a useful treatment for patients with SCI and CTC. The postoperative urodynamic studies in these patients were similar. However, the requirement for additional treatments in patients with SCI, including anticholinergic agents and CISC, is more frequent than in patients with CTC in the postoperative period. Therefore, patients with SCI should be warned about additional postoperative treatments before augmentation cystoplasty, and CISC should be taught to these patients.
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