Retrospective monocentric study of the outcomes of patients with neurogenic bladder, who had a urinary artificial sphincter before the age of 18 years old. Hypothesis: what was the impact of the urinary artificial sphincter on the global management of the patient.
The management of patients with neurogenic bladder is complex. Several patients have been operated multiple times. Surgical procedures such as Mitrofanoff's, bladder neck surgery, bladder augmentation and urinary artificial sphincter, are common. The investigators want to analyse the participants data, that led to indication of an urinary artificial sphincter, and its outcomes.
Study Type
OBSERVATIONAL
Enrollment
17
Patients aged under 18 years old with UAS
ULorraine
Vandœuvre-lès-Nancy, Grand Est, France
Number of participants with refractory urinary incontinence
Participants with urinary incontinence without response to medical treatment or catheterization
Time frame: Before surgery
Impact of urinary artificial sphincter on the participants' incontinence
Three outcomes are possible: the participant is continent, the participant is continent with catheterization or the patient is incontinent.
Time frame: Through study completion, an average of 2 years
Impact of bladder augmentation on participants' incontinence
Analysing the presence of bladder augmentation in participants with urinary artificial sphincter. Three outcomes are possible: the participant is continent, the participant is continent with catheterization or the patient is incontinent.
Time frame: Through study completion, an average of 2 years
Impact of Mitrofanoff procedure on participants' incontinence
Analysing the presence of Mitrofanoff procedure in participants with urinary artificial sphincter. hree outcomes are possible: the participant is continent, the participant is continent with catheterization or the patient is incontinent.
Time frame: Through study completion, an average of 2 years
Impact of bladder neck surgery on participants' incontinence
Analysing the presence of bladder neck surgery in participants with urinary artificial sphincter. hree outcomes are possible: the participant is continent, the participant is continent with catheterization or the patient is incontinent.
Time frame: Through study completion, an average of 2 years
Complications after urinary artificial sphincter
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Medical and surgical complications after urinary artificial sphincter
Time frame: Through study completion, an average of 2 years
Operating time
Operating time
Time frame: Perioperatively
Length of stay
Length of stay
Time frame: From the day of hospitalization to the day of discharge home, up to 20 days
Last follow-up
Follow-up represents the time between the surgery and postoperative consultation dates in days, months, or years. Generally, there are a-month-follow-up, a three month-follow-up, a six month-follow-up, and a year-follow-up. The surgeon can see the patient if there is any problem between these consultations. After a year of follow-up, it is up to the surgeon to decide if the patient needs to be seen yearly or not. The last follow-up date is crucial because it indicates how the patient is and if other follow-up dates need to be applied.
Time frame: Through study completion, an average of 2 years