NCT04922437

Implantation of Continent Catheterizable Channel : Native Bladder or Enterocystoplasty ?

Site of Implantation of Continent Catheterizable Channel : Native Bladder or Enterocystoplasty ? Comparison in 106 Patients

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 106 (actual)
• Sponsor: Central Hospital, Nancy, France · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

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).

Detailed 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.

Conditions

• Neurogenic Bladder
• Continent Cutaneous Urinary Diversion
• Mitrofanoff

Interventions

Type	Name	Description
PROCEDURE	Native bladder implantation	Continent catheterizable channel implanted in the detrusor of the native bladder
PROCEDURE	Enterocystoplasty implantation	Continent catheterizable channel implanted by seromuscular plicature on the front wall of the bladder augmentation

Timeline

• Start date: 2020-01-01
• Primary completion: 2021-01-01
• Completion: 2021-06-01
• First posted: 2021-06-10
• Last updated: 2021-06-10

Locations

1 site across 1 country: France