Bladder Dysfunction, Child, Only, Neurogenic Bladder, Spina Bifida
Conditions
Keywords
Urinary Artificial Sphincter, Neurogenic Bladder, Children, Outcomes, Retrospective Study
Brief summary
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.
Detailed description
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.
Interventions
OTHERUrinary Artificial Sphincter (UAS) in Children
Patients aged under 18 years old with UAS
Sponsors
University of Lorraine
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 17 Years
Healthy volunteers
No
Inclusion criteria
* Patients who were younger than 18 years old when they had an urinary artificial sphincter
Exclusion criteria
* Patients who were 18 years old or older when they had an urinary artificial sphincter
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with refractory urinary incontinence | Before surgery | Participants with urinary incontinence without response to medical treatment or catheterization |
| Impact of urinary artificial sphincter on the participants' incontinence | Through study completion, an average of 2 years | Three outcomes are possible: the participant is continent, the participant is continent with catheterization or the patient is incontinent. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Impact of bladder neck surgery on participants' incontinence | Through study completion, an average of 2 years | 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. |
| Complications after urinary artificial sphincter | Through study completion, an average of 2 years | Medical and surgical complications after urinary artificial sphincter |
| Impact of bladder augmentation on participants' incontinence | Through study completion, an average of 2 years | 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. |
| Length of stay | From the day of hospitalization to the day of discharge home, up to 20 days | Length of stay |
| Last follow-up | Through study completion, an average of 2 years | 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. |
| Operating time | Perioperatively | Operating time |
| Impact of Mitrofanoff procedure on participants' incontinence | Through study completion, an average of 2 years | 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. |
Countries
France
Outcome results
None listed