Groenendijk Ilse M, van den Hoek Joop, Blok Bertil F M, Nijman Rien J M, Scheepe Jeroen R
a Department of Urology , Erasmus Medical Center , Rotterdam , The Netherlands.
b Department of Urology, University Medical Center Groningen , Rijksuniversiteit Groningen , Groningen , The Netherlands.
Scand J Urol. 2019 Apr-Jun;53(2-3):145-150. doi: 10.1080/21681805.2019.1596156. Epub 2019 Apr 8.
To evaluate the long-term results after the construction of a Continent Catheterizable Urinary Conduit (CCUC) in adults. This study retrospectively reviewed the charts of 41 adults from two tertiary centers who received a CCUC. The demographics, underlying diseases, indications for a CCUC and outcomes such as the reoperation rate and the occurrence of complications were extracted. The patient reported outcome was measured with the Patient Global Impression of Improvement (PGI-I) scale and four additional questions about continence, leakage and stomal problems. Twenty-nine patients were women. The median age at surgery was 32 years, with a median follow-up of 52 months. Twenty-six patients had a neurogenic bladder. The reoperation rate was 48.8%, with a median of 10.5 months after constructing the CCUC. Superficial stomal stenosis was the most common registered complication (20 times) and stoma revision was the most often performed reoperation (12 times). Twenty-four patients completed the PGI-I; the mean improvement rating was 2 (=much better). The construction of a CCUC in adults is associated with a high complication and reoperation rate. The high reoperation rate is in accordance with the sparse literature. Despite this, patients reported 'much better' on the PGI-I.
评估成人可控性膀胱造瘘术（CCUC）构建后的长期效果。本研究回顾性分析了来自两个三级中心的41例接受CCUC手术的成人患者病历。提取了患者的人口统计学信息、基础疾病、CCUC手术指征以及诸如再次手术率和并发症发生率等结果。通过患者整体改善印象（PGI-I）量表以及另外四个关于控尿、漏尿和造口问题的问题来衡量患者报告的结果。29例患者为女性。手术时的中位年龄为32岁，中位随访时间为52个月。26例患者患有神经源性膀胱。再次手术率为48.8%，在构建CCUC后的中位时间为10.5个月。浅表性造口狭窄是最常见的记录并发症（20次），造口修复是最常进行的再次手术（12次）。24例患者完成了PGI-I评估；平均改善评分为2（=好多了）。成人CCUC手术与高并发症和再次手术率相关。高再次手术率与稀少的文献报道一致。尽管如此，患者在PGI-I评估中报告“好多了”。
