دورية أكاديمية
Vesicostomy button: how is it placed, in whom, and how is quality of life affected?
| العنوان: | Vesicostomy button: how is it placed, in whom, and how is quality of life affected? |
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| المؤلفون: | Kelly J. Nast, George Chiang, Sarah Marietti |
| المصدر: | International Brazilian Journal of Urology, Vol 45, Iss 4, Pp 807-814 |
| بيانات النشر: | Sociedade Brasileira de Urologia. |
| المجموعة: | LCC:Diseases of the genitourinary system. Urology |
| مصطلحات موضوعية: | Cystostomy, Gastrostomy, Quality of Life, Diseases of the genitourinary system. Urology, RC870-923 |
| الوصف: | ABSTRACT Purpose The vesicostomy button has been shown to be a safe and effective bladder management strategy for short- or medium-term use when CIC cannot be instituted. This study reports our use with the vesicostomy button, highlighting the pros and cons of its use and complications. We then compared the quality or life in patients with vesicostomy button to those performing clean intermittent catheterization. Materials and Methods Retrospective chart review was conducted on children who had a vesicostomy button placed between 2011 and 2015. Placement was through existing vesicostomy, open or endoscopically. We then evaluated placement procedure and complications. A validated quality of life questionnaire was given to patients with vesicostomy button and to a matched cohort of patients performing clean intermittent catheterization. Results Thirteen children have had a vesicostomy button placed at our institution in the 4 year period, ages 7 months to 18 years. Indications for placement included neurogenic bladder (5), non-neurogenic neurogenic bladder (3), and valve bladders (5). Five out of 7 placed via existing vesicostomy had leakage around button. None of the endoscopically placed buttons had leakage. Complications were minor including UTI (3), wound infection (1), and button malfunction/leakage (3). QOL was equal and preserved in patients living with vesicostomy buttons when compared to CIC. Conclusion The vesicostomy button is an acceptable alternative to traditional vesicostomy and CIC. The morbidity of the button is quite low. Endoscopic insertion is the optimal technique. QOL is equivalent in patients with vesicostomy button and those who perform CIC. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1677-6119 1677-5538 |
| Relation: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382019000400807&lng=en&tlng=en; https://doaj.org/toc/1677-6119 |
| DOI: | 10.1590/s1677-5538.ibju.2018.0686 |
| URL الوصول: | https://doaj.org/article/ec3140b7d6a64f63819d531760deb870 |
| رقم الأكسشن: | edsdoj.3140b7d6a64f63819d531760deb870 |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 16776119 16775538 |
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| DOI: | 10.1590/s1677-5538.ibju.2018.0686 |