Faculty Collaboration Database

Long-term followup of the hematuria-dysuria syndrome. J Urol 2000 Sep;164(3 Pt 2):921-3

Date

08/25/2000

Pubmed ID

10958709

DOI

10.1016/s0022-5347(05)67218-7

Scopus ID

2-s2.0-0033900376 (requires institutional sign-in at Scopus site)   47 Citations

Abstract

PURPOSE: The hematuria-dysuria syndrome is the most common reported complication of gastrocystoplasty. We reviewed our cases of gastrocystoplasty to determine the long-term incidence and significance of the syndrome.

MATERIALS AND METHODS: We performed a retrospective study of 78 patients who underwent gastrocystoplasty at our institution between July 1989 and October 1994. A total of 72 of the 78 cases were evaluated within the last year to elicit symptoms of the hematuria-dysuria syndrome.

RESULTS: Spina bifida and bladder exstrophy were the most common diagnoses of patients undergoing gastrocystoplasty. There were 3 (4%) patients who required medications on a continuous basis to control symptoms of the hematuria-dysuria syndrome. However, using broad criteria 17 (24%) patients would be categorized as having the syndrome. Of these patients 9 did not require any medications and 4 occasionally took medications to control symptoms. A significant increase in the incidence of the hematuria-dysuria syndrome was detected in those cases with a sensate compared to those with an insensate urethra.

CONCLUSIONS: The hematuria-dysuria syndrome is a clinically significant problem at long-term followup in a small percentage of patients treated with gastrocystoplasty. The lowest incidence is in those children with an insensate urethra who are continent. When symptoms occur they are easily treated in the majority of cases. We believe that gastrocystoplasty remains a viable option in the armamentarium of bladder augmentation.

Author List

Chadwick Plaire J, Snodgrass WT, Grady RW, Mitchell ME

Author

Michael Ernst Mitchell MD Emeritus Professor in the Urology department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Bladder Exstrophy
Child
Follow-Up Studies
Hematuria
Humans
Retrospective Studies
Risk Factors
Stomach
Syndrome
Urinary Bladder
Urologic Diseases
Urologic Surgical Procedures