PURPOSE: Simultaneous augmentation cystoplasty and artificial urinary sphincter placement have recently been reported to be associated with a high incidence of @entity281 . We reviewed our results to define the @entity281 rate and outline the mechanisms of voiding in our @entity1 population. MATERIALS AND METHODS: A total of 29 @entity1 underwent a simultaneous procedure. The etiology of lower urinary tract disease was @entity7891 in 14 @entity1 , myelomeningocele in 10, lipomeningocele in 3, @entity1566 in 1 and radical retropubic prostatectomy in 1. We used 19 gastric, 5 ileal and 5 colonic intestinal segments. Average followup was 33 months. All @entity1 were followed for a minimum of 2 years. Preoperatively all cases had mechanical bowel preparation and documented sterile urine cultures or treated @entity793 . RESULTS: Infection developed in 2 @entity1 (6.9%) necessitating artificial urinary sphincter removal at 1 week and 9 months. There were no infections associated with gastrocystoplasty. Clean intermittent catheterization was required in 21 @entity1 , while the remaining 8 voided spontaneously. Of the 8 @entity1 4 were catheterized at least once daily to monitor residual urine volumes. Of all @entity1 5 were catheterized with a gastric tube, 5 with an appendicovesicostomy and 14 per urethra. CONCLUSIONS: A simultaneous procedure was associated with an acceptable prosthetic @entity281 rate and gastric segments were associated with the lowest incidence of @entity281 . The minority of @entity1 voided spontaneously. The combination procedure was effective in achieving continence. However, in the future a nonprosthetic means of providing urethral resistance may provide better treatment.

Simultaneous augmentation cystoplasty and artificial urinary sphincter placement: XXXX rates and voiding mechanisms.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity793 :: ('MESH:D001437', 'Disease') :: ['bacteriuria'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity7891 :: ('MESH:D001746', 'Disease') :: ['exstrophy'] @entity1566 :: ('MESH:D013119', 'Disease') :: ['spinal cord injury']
@entity281 :: (MESH:D007239,Disease) :: ['infection']
