METHODS: We reviewed a prospectively collected database of patients with cloacal malformation managed at our institution. We included girls ≥3 years (y) of age and evaluated their bladder management methods and continence. Dryness was defined as <1 daytime accident per week. Incontinent diversions with both vesicostomy and enterovesicostomy were considered wet.
RESULTS: A total of 152 patients were included. Overall, 93 (61.2%) are dry. Nearly half (47%) voided via urethra, 65% of whom were dry. Twenty patients (13.1%) had incontinent diversions. Over 40% of the cohort performed clean intermittent catheterization (CIC), approximately half via urethra and half via abdominal channel. Over 80% of those performing CIC were dry. In total, 12.5% (n = 19) required bladder augmentation (BA). CC length was not associated with dryness (p = 0.076), need for CIC (p = 0.253), or need for abdominal channel (p = 0.497). The presence of a spinal cord abnormality was associated with need for CIC (p = 0.0117) and normal spine associated with ability to void and be dry (p = 0.004) CONCLUSIONS: In girls ≥ 3 y of age with cloacal malformation, 61.2% are dry, 65% by voiding via urethra and 82% with CIC. 12.5% require BA. Further investigation is needed to determine anatomic findings associated with urinary outcomes.
METHODS: IV.
方法:我们回顾了前瞻性收集的在我们机构管理的泄殖腔畸形患者数据库。我们纳入了年龄≥3岁(y)的女孩,并评估了她们的膀胱管理方法和节制。干燥定义为每周<1次白天事故。膀胱造口术和肠膀胱造口术的失禁转移被认为是湿的。
结果:共纳入152例患者。总的来说,93(61.2%)是干的。近一半(47%)通过尿道排尿,其中65%是干的。20例患者(13.1%)出现失禁转移。超过40%的队列进行了清洁间歇性导管插入术(CIC),大约一半通过尿道,一半通过腹部通道。超过80%的进行CIC的是干的。总的来说,12.5%(n=19)需要膀胱扩张(BA)。CC长度与干燥度无关(p=0.076),需要CIC(p=0.253),或需要腹部通道(p=0.497)。脊髓异常的存在与对CIC的需求相关(p=0.0117),正常脊柱与空缺和干燥能力相关(p=0.004)结论:在年龄≥3岁的泄殖腔畸形女孩中,61.2%是干的,65%通过尿道排尿,82%与CIC。12.5%需要BA。需要进一步的研究来确定与泌尿结果相关的解剖学发现。
方法:IV.