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Cumulative incidence of outcomes and urologic procedures after augmentation cystoplasty

Reviewed by Henrik Steinbrecher

The authors of this paper describe the cumulative incidence of outcomes and surgical procedures following paediatric augmentation cystoplasties in the USA. They included all children <18 years over an 11-year period in their study and used the Pediatric Health Information system as their data source. Sensitivity analyses were used to determine censoring effects. A total of 2831 patients were identified. Ten-year cumulative outcome ranges were as follows (the lowest figure represents that with sensitivity analysis and the higher one assumes non-informative censoring): Bladder rupture - 2.9-6.4%; Small bowel obstruction - 5.2-10.3%; Bladder stones - 13.3-36%; Pyelonephritis - 16.1-37.1%; Cystolithopaxy - 13.3-35.1%; Re-augmentation - 5.2-13.4%. Bladder neck closure and stoma formation resulted in greater incidence of stones and rupture. This paper is a good source of information for preoperative counselling. 

Cumulative incidence of outcomes and urologic procedures after augmentation cystoplasty.
Schloemer B, Copp H.
JOURNAL OF PEDIATRIC UROLOGY
2014;10:1043-50.
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