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  • Title: [Augmentation cystoplasty and intermittent catheterization in neurogenic bladder].
    Author: Merhej S, Masri H, Moukarzel M, Chelouhy E, Chaiban R, el-Khoury R, Kassardjian Z.
    Journal: J Med Liban; 1994; 42(3):109-11. PubMed ID: 7629841.
    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. Detubularized 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 Teflon paste 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 autonomic dysreflexia. Thirteen patients have an asymptomatic untreated bacteriuria.
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