Urinary Artificial Sphincter in Children

Study Overview
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Brief Summary
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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
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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 want to analyse the participants data, that led to indication of an urinary artificial sphincter, and its outcomes.

Official Title
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Place of Urinary Artificial Sphincter in Children With Neurogenic Bladder

Conditions
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Neurogenic Bladder, Bladder Dysfunction, Spina Bifida, Child, Only

Intervention / Treatment
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* Other: Urinary Artificial Sphincter (UAS) in Children


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Urinary Artificial Sphincter (UAS) in Children|Patients aged under 18 years old with UAS|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants with refractory urinary incontinence | Participants with urinary incontinence without response to medical treatment or catheterization | Before surgery | 
| Impact of urinary artificial sphincter on the participants' incontinence | Three outcomes are possible: the participant is continent, the participant is continent with catheterization or the patient is incontinent. | Through study completion, an average of 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Impact of bladder augmentation on participants' incontinence | 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. | Through study completion, an average of 2 years | 
| Impact of Mitrofanoff procedure on participants' incontinence | Analysing the presence of Mitrofanoff procedure 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. | Through study completion, an average of 2 years | 
| Impact of bladder neck surgery on participants' incontinence | 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. | Through study completion, an average of 2 years | 
| Complications after urinary artificial sphincter | Medical and surgical complications after urinary artificial sphincter | Through study completion, an average of 2 years | 
| Operating time | Operating time | Perioperatively | 
| Length of stay | Length of stay | From the day of hospitalization to the day of discharge home, up to 20 days | 
| Last follow-up | 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. | Through study completion, an average of 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Urinary Artificial Sphincter, Neurogenic Bladder, Children, Outcomes, Retrospective Study