{"title":"A Review of the Long-term Outcomes of Incontinent Diversion in the Pediatric Neurogenic Bladder.","authors":"Megan Stout, Mark C Adams, Douglass B Clayton","doi":"10.1007/s11934-025-01261-9","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This review offers an evaluation of the limited literature detailing the outcomes of incontinent urinary diversion in the pediatric neurogenic bladder patient. We will discuss the indications for incontinent urinary diversion, procedural options, surgical techniques, postoperative complications, and overall patient impact.</p><p><strong>Recent findings: </strong>Incontinent urinary diversions remain a valuable treatment option for patients with neurogenic bladder especially the highly selected patient with few other options. Irrespective of the diversion chosen, postoperative complications do arise, and long-term follow-up is imperative. Ensuring the longevity and effectiveness of the diversion is critical, especially in a pediatric patient cohort with multiple long term risks including obesity- a factor that can directly impact reconstructive function. The dearth of available data highlights the need for more longitudinal studies of pediatric patient cohorts to determine true impact and risk related to incontinent urinary diversion.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"34"},"PeriodicalIF":2.5000,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954687/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Urology Reports","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11934-025-01261-9","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: This review offers an evaluation of the limited literature detailing the outcomes of incontinent urinary diversion in the pediatric neurogenic bladder patient. We will discuss the indications for incontinent urinary diversion, procedural options, surgical techniques, postoperative complications, and overall patient impact.
Recent findings: Incontinent urinary diversions remain a valuable treatment option for patients with neurogenic bladder especially the highly selected patient with few other options. Irrespective of the diversion chosen, postoperative complications do arise, and long-term follow-up is imperative. Ensuring the longevity and effectiveness of the diversion is critical, especially in a pediatric patient cohort with multiple long term risks including obesity- a factor that can directly impact reconstructive function. The dearth of available data highlights the need for more longitudinal studies of pediatric patient cohorts to determine true impact and risk related to incontinent urinary diversion.
期刊介绍:
This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions.
We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.