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  • Title: 'Clam' ileocystoplasty.
    Author: Beier-Holgersen R, Kirkeby LT, Nordling J.
    Journal: Scand J Urol Nephrol; 1994 Mar; 28(1):55-8. PubMed ID: 8009194.
    Abstract:
    'Clam' enterocystoplasty has been performed in 23 patients in the treatment of lower urinary tract dysfunction. Twenty patients had neurogenic disorder while three were neurologically normal. Patients were evaluated urodynamically pre- and postoperatively. A significant change from a high pressure bladder to a low pressure bladder was found. Most patients had detrusor instability/hyperreflexia but 7 were operated due to poor bladder compliance. Only 2 patients had postoperative detrusor instability. Three patients later had a urinary diversion. Nineteen patients became dry giving a total success rate of 87% although 14 had to do clean intermittent self catheterization.
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