Long-term follow-up after clam ileocystoplasty. Complications and results including some quality-of-life parameters for 32 patients treated for neuropathic and nonneuropathic bladder disease

Abstract

The results of clam ileocystoplasty in 32 patients were evaluated. Nineteen patients had a neuropathic (group N) and 13 a nonneuropathic disease (group NN). Mean follow-up was 75 months; 62 months for group N and 95 months for group NN. Mean age was 38 years. Postoperative complications and some quality-of-life parameters including continence, and the need for clean intermittent self-catheterization and an artificial sphincter were assessed. The mean pre-/postoperative bladder volumes were for group N and NN 173/364 ml and 171/246 ml, respectively. Eighty percent of the patient were satisfied with the operation and would undergo a new operation if necessary. The remainder had some expectations that were unfulfilled.