OBJECTIVE: To evaluate the association of urodynamic variables with continence and upper tract status after reconstruction in @entity1 with classical @entity1494 . @entity1 AND METHODS: Thirty-one @entity1 with @entity1494 were assessed 1 year after a modified bladder neck reconstruction. The evaluation included a detailed history, radioisotope renography, voiding cysto-urethrography, ultrasonography and artificial slow-filling cystometry. RESULTS: Fifteen of the 31 @entity1 were satisfactorily continent; their maximum cystometric capacity was higher than that of the incontinent @entity1 . The compliance, assessed as the maximum bladder capacity at a detrusor pressure of < 20 cm @entity2507 , was significantly higher in the continent @entity1 . There was a 45% incidence of unstable contractions in the 31 @entity1 . Persistent sphincteric activity was detected on electromyography in 10 @entity1 during voiding. Twenty-one @entity1 could initiate a detrusor contraction during voiding. The residual volume was significant in nine of the 21 @entity1 who attempted to void. @entity1 with a high end-fill pressure (> 40 cm @entity2507 ) had a significantly higher incidence of unobstructive @entity3041 than had @entity1 who had an end-fill pressure of < 40 cm @entity2507 . CONCLUSIONS: @entity1494 are common after reconstruction of @entity1494 , with poor compliance, small capacity and unstable contractions. These factors hinder any increase in capacity and cause persistent @entity322 . Hypocompliance and high end-fill pressure can lead to upper tract damage even in continent @entity1 . Detailed urodynamic evaluation is vital to assess the results and to plan subsequent treatment.

Cystometric evaluation of reconstructed classical XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'PATIENTS'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinence'] @entity1494 :: ('MESH:D001745', 'Disease') :: ['bladder exstrophy', 'Bladder abnormalities'] @entity3041 :: ('MESH:D006869', 'Disease') :: ['hydronephrosis'] @entity2507 :: ('CHEBI:33813', 'Chemical') :: ['H2O']
@entity1494 :: (MESH:D001745,Disease) :: ['bladder exstrophy']
