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 wanted to analyze the participants' data, which led to the indication of a urinary artificial sphincter and its outcomes.
Study Type
OBSERVATIONAL
Enrollment
15
Urinary Artificial Sphincter is a device used for patients with urethral sphincter incompetence
University Hospital, Clermont-Ferrand
Clermont-Ferrand, Auvergne, France
Number of participants with urinary sphincter incomptetence
Participants with urinary incontinence caused by urinary sphincter incomptetence
Time frame: Before surgery
Impact of urinary artificial sphincter on the participants' incontinence
Three outcomes are possible: the participant is continent (with or without a few leaks), the participant is continent with catheterization, 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. 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 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
Last follow-up
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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]