TY - JOUR
T1 - Bladder psoas hitch in hydronephrosis due to pelvic endometriosis
T2 - outcome of urodynamic parameters
AU - Carmignani, Luca
AU - Ronchetti, Antonella
AU - Amicarelli, Fabio
AU - Vercellini, Paolo
AU - Spinelli, Matteo
AU - Fedele, Luigi
PY - 2009/7
Y1 - 2009/7
N2 - Objective: To evaluate modifications in bladder sensitivity and function after ureteroneocystostomy with bladder psoas hitch for hydronephrosis due to deep pelvic endometriosis. Design: Prospective study. Setting: Center for the Treatment of Endometriosis of the Department of Obstetrics and Gynecology of the State University of Milan, Italy. Patient(s): Thirteen patients with deep endometriosis and ureteral involvement. Mean age of patients was 36.8 years (range, 31-48 years). Intervention(s): Ureteroneocystostomy with a psoas hitch. Indications for performing psoas hitch ureteroneocystostomy were severe hydronephrosis, radiologic evidence of ureteral stricture measuring >4 cm, and the impossibility of performing ureterolysis. Main Outcome Measure(s): Impact on urodynamic parameters of bladder psoas hitch ureteroneocystostomy. Result(s): All patients showed normal bladder capacity 3 months after surgery. Two patients presented with stress incontinence immediately after surgery, which almost completely subsided at 3 months' follow-up. In 4 patients the bladder was also involved; in these cases a bladder resection was performed, followed by ureteral reimplantation. Follow-up was at 6 months from surgery and then every 6 months thereafter, in which patients underwent urogynecologic examination, completed a questionnaire on urinary symptoms, and underwent renal ultrasound evaluation with no evidence of recurrence of obstructive uropathy. Conclusion(s): On the basis of the results of the present study, bladder psoas hitch along with ureteral resection and ureteroneocystostomy for infiltrating endometriosis do not seem to have a negative impact on urodynamic parameters.
AB - Objective: To evaluate modifications in bladder sensitivity and function after ureteroneocystostomy with bladder psoas hitch for hydronephrosis due to deep pelvic endometriosis. Design: Prospective study. Setting: Center for the Treatment of Endometriosis of the Department of Obstetrics and Gynecology of the State University of Milan, Italy. Patient(s): Thirteen patients with deep endometriosis and ureteral involvement. Mean age of patients was 36.8 years (range, 31-48 years). Intervention(s): Ureteroneocystostomy with a psoas hitch. Indications for performing psoas hitch ureteroneocystostomy were severe hydronephrosis, radiologic evidence of ureteral stricture measuring >4 cm, and the impossibility of performing ureterolysis. Main Outcome Measure(s): Impact on urodynamic parameters of bladder psoas hitch ureteroneocystostomy. Result(s): All patients showed normal bladder capacity 3 months after surgery. Two patients presented with stress incontinence immediately after surgery, which almost completely subsided at 3 months' follow-up. In 4 patients the bladder was also involved; in these cases a bladder resection was performed, followed by ureteral reimplantation. Follow-up was at 6 months from surgery and then every 6 months thereafter, in which patients underwent urogynecologic examination, completed a questionnaire on urinary symptoms, and underwent renal ultrasound evaluation with no evidence of recurrence of obstructive uropathy. Conclusion(s): On the basis of the results of the present study, bladder psoas hitch along with ureteral resection and ureteroneocystostomy for infiltrating endometriosis do not seem to have a negative impact on urodynamic parameters.
KW - bladder psoas hitch
KW - Endometriosis
KW - hydronephrosis
KW - ureteroneocystostomy
KW - urodynamic
UR - http://www.scopus.com/inward/record.url?scp=67649118544&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=67649118544&partnerID=8YFLogxK
U2 - 10.1016/j.fertnstert.2008.05.034
DO - 10.1016/j.fertnstert.2008.05.034
M3 - Article
C2 - 18692798
AN - SCOPUS:67649118544
VL - 92
SP - 35
EP - 40
JO - Fertility and Sterility
JF - Fertility and Sterility
SN - 0015-0282
IS - 1
ER -