Bladder Dysfunction, Child, Only, Neurogenic Bladder Disorder, Spina Bifida, Urinary Incontinence Due to Urethral Sphincter Incompetence
Conditions
Keywords
Urinary Artificial Sphincter, Neurogenic Bladder, Child, 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 wanted to analyze the participants' data, which led to the indication of a urinary artificial sphincter and its outcomes.
Interventions
OTHERUrinary Artificial Sphincter
Urinary Artificial Sphincter is a device used for patients with urethral sphincter incompetence
Sponsors
Central Hospital, Nancy, France
University Hospital, Clermont-Ferrand
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
0 Years 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 urinary sphincter incomptetence | Before surgery | Participants with urinary incontinence caused by urinary sphincter incomptetence |
| 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 (with or without a few leaks), the participant is continent with catheterization, the patient is incontinent. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 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. |
| 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. Three outcomes are possible: the participant is continent, the participant is continent with catheterization, or the patient is incontinent. |
| 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. |
| 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. |
Countries
France
Outcome results
None listed