An Application of Keystone Perforator Island Flap for Closure of Lumbosacral Myelomeningocele Defects

This article evaluates the short-term and long-term outcomes of these patients who were followed up for 10 to 66 months.
Source: Annals of Plastic Surgery - Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

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Authors: Forster CS, Hsieh MH, Pérez-Losada M, Caldovic L, Pohl H, Ljungberg I, Sprague B, Stroud C, Groah S Abstract CONTEXT/OBJECTIVE: Manipulation of the microbiome is an emerging approach to promote health. We conducted a Phase Ia safety study of a single bladder instillation of probiotics in asymptomatic patients with neuropathic bladder to determine the tolerability and safety of a single Lactobacillus instillation. DESIGN: Phase Ia safety study. SETTING: Outpatient rehabilitation clinic at a rehabilitation hospital (adults) and urology clinic at a free-standing children's hospital (children). ...
Source: Journal of Spinal Cord Medicine - Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research
Authors: Kennelly M, Thiruchelvam N, Averbeck MA, Konstatinidis C, Chartier-Kastler E, Trøjgaard P, Vaabengaard R, Krassioukov A, Jakobsen BP Abstract A risk factor model for urinary tract infections in patients with adult neurogenic lower urinary tract dysfunction performing clean intermittent catheterisation was developed; it consists of four domains, namely, (1) general (systemic) conditions in the patient, (2) individual urinary tract conditions in the patient, (3) routine aspects related to the patient, and (4) factors related to intermittent catheters per se. The conceptual model primarily concerns pat...
Source: Advances in Urology - Category: Urology & Nephrology Tags: Adv Urol Source Type: research
ConclusionThis clinical study on a small sample size of children and adolescents demonstrates positive results in short-term follow-up. However, as the procedure is still not approved officially, multicenter studies with more patients can prove the safety and efficacy of sacral neuromodulation in long term among this special group of patients.
Source: World Journal of Urology - Category: Urology & Nephrology Source Type: research
CONCLUSION: Continent channels in adults demonstrate favorable long-term outcomes even if reinterventions could be necessary to maintain a continent and catheterizable channel. Despite reinterventions, patients remain satisfied by the Mitrofanoff procedure which facilitate the process of clean intermittent catheterization. LEVEL OF EVIDENCE: 4. PMID: 30819634 [PubMed - as supplied by publisher]
Source: Progres en Urologie - Category: Urology & Nephrology Tags: Prog Urol Source Type: research
This manuscript sought to investigate the role of health literacy and a variety of sociodemographic factors and readmission and complication rates after complex GU surgery in a small but high-risk population of patients with neurogenic bladder. Nearly half of the patients were spinal cord injured (SCI), one-fourth had spina bifida (SB), and the remainder either had a degenerative neuromuscular disease or were unspecified. While all of these diseases can result in a similar bladder phenotype, and therefore similar surgical treatments, the populations are vastly different.
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research
The objective of the study was to quantify the extent to which the muscle electromyographic (EMG) patterns vary with propulsion speed. A total of 11 wheelchair-dependent participants with a diagnosis of spina bifida or T6–T12 spinal cord injury volunteered for the study. Each participant performed a series of wheelchair propulsion bouts at 1m/s, 1.3 m/s, and 1.6m/s. EMG signals of 8 shoulder muscles as well as the physiological and kinetic variables were recorded. Propulsion at 1.6m/s generated significantly higher EMG intensities in biceps brachii, anterior deltoid, pectoralis major, and middle deltoid than at 1m/s ...
Source: IEE Transactions on Neural Systems and Rehabilitation Engineering - Category: Neuroscience Source Type: research
CONCLUSIONS: Evidence supporting optimal surveillance for NLUTD is lacking. Level 2b-4 evidence suggests that sUDS is likely to modify patient treatment and often demonstrates findings that modify treatment in the absence of symptoms or imaging changes. PMID: 30526805 [PubMed - as supplied by publisher]
Source: Canadian Urological Association Journal - Category: Urology & Nephrology Authors: Tags: Can Urol Assoc J Source Type: research
CONCLUSIONS: Cystoplasty remains a safe and effective option for the management of neuropathic bladder in a carefully selected group of patients. PMID: 30299216 [PubMed - as supplied by publisher]
Source: Journal of Spinal Cord Medicine - Category: Orthopaedics Tags: J Spinal Cord Med Source Type: research
AbstractPurpose of ReviewIn this review, we examine the current literature to address the epidemiology of catheters for managing neurogenic bladder. We will address the epidemiology of conditions associated with neurogenic bladder, including multiple sclerosis, spinal cord injury, Parkinson ’s disease, stroke, and spina bifida. Rates of utilization of various catheter strategies, including indwelling urethral catheter, suprapubic catheter, and intermittent catheterization rates will be reviewed. Lastly, we examine the cost considerations between and within each type of strategy.Recent FindingsManagement strategies fo...
Source: Current Bladder Dysfunction Reports - Category: Urology & Nephrology Source Type: research
ConclusionsTreatment may be divided into medical vs. surgical and mirrors the approach to children who have a neurogenic bladder due to spina bifida. Bladder management should be associated with bowel management to achieve the goals of continence and social acceptability.
Source: World Journal of Urology - Category: Urology & Nephrology Source Type: research
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