Long-term outcomes of cutaneous vesicostomy in patients with neuropathic bladder caused by spina bifida

Vesicostomy is a safe method for temporary diversion of the lower urinary tract in patients with spina bifida who are refractory to conservative and minimally invasive treatments.Table. Summary of patients.NrSexPreop Cr (mg/dL)Preop renal USNumber of preop UTIsPreop UDS (Cap/Pdetmax/DOA/DSD)Age at surgery (months)Follow-up (months)Number of postop UTIsCr at last follow-up (mg/dL)Final USAge at vesicostomy takedown (months)1FNANormal120/50/+/+27262NANormal2F0.22Normal365/43/+/+153800.33Normal3MNAL Gr 2 HN3166/55/+/+962300.52Normal4M0.97R Gr 1 HN072/52/+/+85300.58Normal5F0.25R Gr 2 HN5100/72/+/+866210.2R Gr 1 HN6FNABil Gr 4 HN1131/100/+/+2612000.27NA627F0.26Bil Gr 2 HN598/52/+/+34710NANormal8FNANANANA245800.42Normal849M0.31L Gr 1 HN0279/18/+/+397100.41Normal10MNANANANA47400.38Normal6011FNAL Gr 2 HN2NA913200.36L Gr 1 HN5912MNANANANA12NA10.28Normal9613M0.16Bil Gr 3 HN035/50/+/+39720NANormal14F0.33Bil Gr 1 HN0107/49/−/+7690NANormalCr = creatinine, preop = preoperative, US = ultrasonography, UTI = urinary tract infection, Cap = functional bladder capacity (mL), Pdetmax = maximal detrusor pressure during filling phase (cmH2O), L = left, R = right, HN = hydronephrosis (per SFU grading system), M = male, F = female, NA = not available.