Implantation of Continent Catheterizable Channel : Native Bladder or Enterocystoplasty ? (ICODE)

Central Hospital, Nancy, France

Status: Unknown

Conditions: Continent Cutaneous Urinary Diversion; Mitrofanoff; Neurogenic Bladder

Treatments: Procedure: Native bladder implantation; Procedure: Enterocystoplasty implantation

Study type: Observational

Funder types: Other

Identifiers

NCT04922437

2020PI311

Details and patient eligibility

About

PURPOSE. To compare the results between two sites of implantation of the continent catheterizable channel (CCC): native bladder or enterocystoplasty.

METHODS. Retrospective monocentric study of pediatrics and adult patients who underwent a continent cystostomy between 1991 and 2020 with a continent catheterizable channel implanted in the native bladder's detrusor (D group) or the enterocystoplasty (EC group).

Full description

This is a monocentric and retrospective study involving adult and pediatric population who underwent the creation of a CCC between June 1991 and January 2020. Two different surgical techniques were performed: on the first hand, the implantation of the channel in the native bladder's detrusor (D group), on the other hand the implantation of the channel by seromuscular plicature on the anterior wall of the enterocystoplasty (EC group).

The CCC were made from the appendix, an ileal or sigmoid segment, an ureter or a skin flap. Bladder augmentation and cervicoplasty (Kropp, Kurzrock, Young-Dees, artificial urinary sphincter, sling suspension of the bladder neck, closure of the bladder neck) were frequently associated.

The following informations were obtained in all included patients by charts reviews: age at surgery, gender, main underlying pathology, details of operative reports with the type of channel, bladder augmentation and/or associated cervicoplasty, early postoperative complications, complications appearing during the follow up period and the requirement of surgical or non-surgical revision, finally the channel continence at the last follow up.

Enrollment: 106 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult and pediatric patients who underwent a surgery for creation of a continent catheterizable channel
• Between 1991 and 2020
• In the pediatric surgery or urology department at Nancy University Hospital

Exclusion criteria

• Ghoneim technique used for implantation

Trial design

106 participants in 2 patient groups

Enterocystoplasty (EC)

Description:

Patients who had an implantation of the catheterizable continent channel by seromuscular plicature on the anterior wall of the bladder augmentation.

Treatment:

Procedure: Enterocystoplasty implantation

Detrusor (D)

Description:

Patients who had an implantation of the catheterizable continent channel in the detruosr of their native bladder (Lich-Gregoir or Cohen).

Treatment:

Procedure: Native bladder implantation