Follow-up and outcomes of patients with long-term cutaneous vesicostomies at a single institution
Urology Aug 07, 2020
Fischer KM, Bowen DK, Kovell RC, et al. - In this study, the characteristics of a group of patients were distinguished at the institution who are satisfied with cutaneous vesicostomy for long-term bladder management and never undergo subsequent continence surgery. Researchers distinguished individuals who had undergone vesicostomy creation and were 15 years or older as of October 2017 and performed a retrospective chart review, applying an IRB-approved registry of our patients undergoing reconstructive urinary tract surgery since 1985. This analysis enrolled a total of 67 patients. While often aimed to be temporary, the data illustrate that many individuals keep their vesicostomy for a long time and into adulthood, with generally high satisfaction and low complications. Vesicostomy may be a good long-term operation to prevent infection and renal deterioration, though more rigorous studies of these patients are required, in the properly selected patient.
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