Korean J Urol.
2004 Oct;45(10):1021-1027.
The Effects of Bilateral Ureteroneocystostomy Performed during the Infantile Period on Bladder Function: Questionnaire Study
- Affiliations
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- 1Departments of Urology, Seoul Minicipal Boramae Hospital, Korea.
- 2Departments of Urology, Seoul National University College of Medicine, Seoul, Korea. hchoi@snu.ac.kr
Abstract
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PURPOSE: There has been a non evidence-based reluctance among pediatric urologists to perform trigonal surgery during infancy in fear of damaging the young developing bladder. The effects of a bilateral ureteroneocystostomy on the bladder function, which was performed during the infantile period, were evaluated.
MATERIALS AND METHODS
53 children who underwent a bilateral ureteroneocystostomy during the infantile period, between June 1987 and December 2002 were enrolled in this study. 40 of the 53 enrolled subjects could be contacted by mail, and they were subsequently sent a voiding abnormality symptom score form (10 items, 3 points for each item), which was developed to quantify the degree of voiding abnormality among children, and a newly-developed enuresis questionnaire.
RESULTS
Among the 40 who received the questionnaire forms, 29 (72.5%) responded, but 3 had to be subsequently excluded due to incomplete forms. As a result, the responses from 26 subjects (Male to Female Ratio, 7.7:1) were analyzed. The mean ages at the time of operation, at responding to our survey, and mean time interval from the time of operation were 7.88 (2.53-11.9) months, 8.09 (2.51-16.7) years, and 7.45 (1.8-16.2) years, respectively. The mean age at the point of attaining daytime dryness was 23.4 (18-36) months. The mean total voiding abnormality symptom score was 3.23 (0-11) with the mean scores for each individual item being less than 1.
CONCLUSIONS
A bilateral ureteroneocystostomy, performed during the infantile period, does not appear to induce a bladder function abnormality or voiding difficulty after the operation. Thus, a bilateral ureteroneocystostomy may be considered a safe treatment option for infants under appropriate indications.
