{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T07:40:09Z","timestamp":1792309209912,"version":"4.4.0"},"reference-count":10,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>If medical treatment and\/or interventional methods have failed, and high intravesical pressure and urinary incontinence or recurring urinary tract infections persist combined with present vesicoureteral reflux and impaired renal function, surgical treatment in terms of bladder augmentation is indicated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim of the study:<\/jats:title>\n                    <jats:p>The main objective of this study was to evaluate whether we have to do ureteral reimplantation in patients with spastic neurogenic bladder during augmentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods:<\/jats:title>\n                    <jats:p>A total of 72 patients with spastic neurogenic bladder with VUR were included in the study. The median age at surgery was 12\u2009years, ranging from 3 to 27\u2009years. All of them underwent augmentation cystoplasty for the period between 2016 and 2023. The changes in VUR grade and urodynamic findings were retrospectively evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The median follow-up after AC surgery was 1.5\u2009years, ranging from 0.3 to 2.3\u2009years. The changes in vesicoureteral reflux (VUR) grade before and after surgery: VUR was detected in 72 patients, involving 89 ureters. Among the 89 ureters, the reflux grade was V in 31, IV in 34, III in 23, I in 11. Postoperative VCUG revealed that the reflux resolved in 74 ureters (83%) and was downgraded in 15 ureters (17%). During urodynamics, it was observed that the bladder capacity at which VUR occurred significantly increased from 50 to 450\u2009mL (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05). However, there was no significant change in detrusor pressure at the onset of VUR.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In patients with spastic neurogenic bladder undergoes augmentation cystoplasty: Routine ureteral reimplantation may not be necessary.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03915603261457529","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T15:16:44Z","timestamp":1782919004000},"page":"815-818","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Do we have to do ureteric reimplantation during augmentation cystoplasty in patients with spastic neurogenic bladder?"],"prefix":"10.1177","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3310-0000","authenticated-orcid":false,"given":"Mohammed Bassil","family":"Ismail","sequence":"first","affiliation":[{"name":"Department of Urology, College of Medicine, University of Baghdad, Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"crossref","unstructured":"Chiba H Kitta T Higuchi M. Ureteral reimplantation during augmentation cystoplasty is not needed for vesicoureteral reflux in patients with neurogenic bladder: a long-term retrospective study. BMC Urol 2022; 22: 48. https:\/\/doi.org\/10.1186\/s12894-022-00997-7","DOI":"10.1186\/s12894-022-00997-7"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.26452\/ijrps.v11i2.2236"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(97)00253-7"},{"key":"e_1_3_2_5_2","doi-asserted-by":"crossref","unstructured":"Studer UE Ackermann D Casanova GA et al. Three years\u2019 experience with an ileal low pressure bladder substitute. Br J Urol 1989; 63: 43\u201352. https:\/\/doi.org\/10.1111\/j.1464-410X.1989.tb05122.x","DOI":"10.1111\/j.1464-410X.1989.tb05122.x"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1590\/S1677-5538.IBJU.2014.0680"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)63690-5"},{"issue":"1","key":"e_1_3_2_8_2","first-page":"1315","article-title":"Efficacy and safety of sacral neuromodulation in treatment of refractory overactive bladder","volume":"15","author":"Ismail MB.","year":"2021","unstructured":"Ismail MB. Efficacy and safety of sacral neuromodulation in treatment of refractory overactive bladder. Indian J Forensic Med Toxicol 2021; 15(1): 1315\u20131321.","journal-title":"Indian J Forensic Med Toxicol"},{"key":"e_1_3_2_9_2","doi-asserted-by":"crossref","unstructured":"Zhang HC Yang J Ye X et al. Augmentation enterocystoplasty without reimplantation for patients with neurogenic bladder and vesicoureteral reflux. Kaohsiung J Med Sci 2016; 32(6): 323\u2013326. https:\/\/doi.org\/10.1016\/j.kjms.2016.05.003","DOI":"10.1016\/j.kjms.2016.05.003"},{"key":"e_1_3_2_10_2","doi-asserted-by":"crossref","unstructured":"Simforoosh N Tabibi A Basiri A et al. Is ureteral reimplantation necessary during augmentation cystoplasty in patients with neurogenic bladder and vesicoureteral reflux? J Urol 2002; 168(4 Pt 1): 1439\u20131441. https:\/\/doi.org\/10.1016\/S0022-5347(05)64469-2","DOI":"10.1016\/S0022-5347(05)64469-2"},{"key":"e_1_3_2_11_2","doi-asserted-by":"crossref","unstructured":"L\u00f3pez Pereira P Martinez Urrutia MJ Lobato Romera R et al. Should we treat vesicoureteral reflux in patients who simultaneously undergo bladder augmentation for neuropathic bladder? J Urol 2001; 165(6 Part 2): 2259\u20132261. https:\/\/doi.org\/10.1016\/S0022-5347(05)66179-4","DOI":"10.1016\/S0022-5347(05)66179-4"}],"container-title":["Urologia Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03915603261457529","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03915603261457529","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03915603261457529","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T07:06:35Z","timestamp":1792307195000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03915603261457529"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,1]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1177\/03915603261457529"],"URL":"https:\/\/doi.org\/10.1177\/03915603261457529","relation":{},"ISSN":["0391-5603","1724-6075"],"issn-type":[{"value":"0391-5603","type":"print"},{"value":"1724-6075","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,1]]}}}