{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T17:31:43Z","timestamp":1767979903685,"version":"3.49.0"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2003,2,10]],"date-time":"2003-02-10T00:00:00Z","timestamp":1044835200000},"content-version":"vor","delay-in-days":40,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2003,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To report outcome and urodynamic follow\u2010up of incontinent ileovesicostomy in quadriplegic patients with neurogenic bladder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seven patients (five male, two female; mean age, 33.7 yr) with neurogenic bladder underwent ileovesicostomy for management of leakage or complications of chronic catheter drainage. Five had chronic indwelling catheters: three suprapubic and two urethral. Preoperatively, all had upper tract evaluation and videourodynamics. All seven patients had detrusor hyperreflexia. Preoperative detrusor leak point pressures averaged 42.7 cm H<jats:sub>2<\/jats:sub>O. Two females had intrinsic sphincteric deficiency from prolonged Foley catheter drainage. Ileovesicostomy involves isolation of a 15\u201420\u2010cm segment of terminal ileum. The proximal 6\u20138 cm of this segment is opened on the antimesenteric border. The dome of the bladder is opened widely in a transverse manner and the proximal portion of the bowel is sutured onto the bladder. The distal portion of the ileum remains tubularized and becomes the stoma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no intraoperative complications. Operative time averaged 159 minutes. Associated procedures included removal of bladder calculus (n\u2009=\u20091), pubovaginal sling (n\u2009=\u20092), and Marshall Marchetti Krantz suspension (n\u2009=\u20091). Mean blood loss was &lt;200 cc in six patients. Mean hospital stay was 8 days. Complications in two patients included: fascial stenosis requiring stoma revision (n\u2009=\u20091), wound infection (n\u2009=\u20091), and postoperative ileus (n\u2009=\u20091). Mean follow\u2010up was 37.4 months. Postoperatively, mean detrusor leak point pressures were 16.7 cm H<jats:sub>2<\/jats:sub>O (<jats:italic>P<\/jats:italic>\u2009=\u20090.0061). Patient satisfaction is high with only one complaint of occasional difficulty fitting the appliance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Ileovesicostomy is an effective method of urinary drainage in quadriplegic patients. Detrusor leak point pressures were lowered, and upper tracts were preserved. No long\u2010term complications were encountered. Neurourol. Urodynam. 22:142\u2013146, 2003. \u00a9 2003 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.10093","type":"journal-article","created":{"date-parts":[[2003,2,11]],"date-time":"2003-02-11T16:30:21Z","timestamp":1044981021000},"page":"142-146","source":"Crossref","is-referenced-by-count":23,"title":["Incontinent ileovesicostomy in the management of neurogenic bladder dysfunction"],"prefix":"10.1002","volume":"22","author":[{"suffix":"Jr","given":"Anthony R.","family":"Gauthier","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Christian","family":"Winters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,2,10]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(99)00192-2"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.2165\/00003495-200161090-00004"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(00)00719-6"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(99)00321-0"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)41319-X"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.1930140107"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)63957-0"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)68808-8"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.1996.11911.x"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)54449-3"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(96)00510-9"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)56300-4"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.1995.114"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)32826-4"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)55669-4"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)67730-0"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.1930140106"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.10093","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.10093","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T00:07:18Z","timestamp":1700525238000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.10093"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,1]]},"references-count":17,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2003,1]]}},"alternative-id":["10.1002\/nau.10093"],"URL":"https:\/\/doi.org\/10.1002\/nau.10093","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,1]]}}}