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Recent News and Articles on the Keywords: neck closure + salvage continent + bladder  Related to the article below (Last Update: 5/12/2008)

National Apartments.com Survey Reveals Renters Stance on Apartment ...
PR Newswire (press release), NY -
While the majority of renters surveyed (62%) by Apartments.com do not smoke, opinions on whether or not to ban smoking in apartment communities were neck in ...
From the AKP's 'closure' to Barack Obama
Turkish Daily News (subscription), Turkey - May 8, 2008
The results will either take Ms. Clinton to the lead again or make her ?throw the towel? or they will lead a breathtaking neck-and-neck race until the last ...
Truck spills load of cups, closing Thruway lanes
Buffalo News,  United States -
A tractor-trailer sideswiped a Thruway dump truck alerting drivers to a lane closure late Sunday night, tearing a hole in the trailer, spilling a load of ...

This is London
Jimmy would always protect us
This is London, UK -
Jimmy was killed on Saturday, the day after his 16th birthday, when he was cut in the neck by a shard of glass in an unprovoked attack. ...

CTV.ca
GM closing transmission plant, 1400 jobs at risk
CTV.ca, Canada -
In Windsor, the closure will affect 1400 people who receive a salary or are paid hourly. NDP Leader Howard Hampton said Ontario does not have enough ...GM
Victims see bridge deal as closure
Chicago Tribune, United States - May 2, 2008
Kimberly Brown, who suffered back, neck and knee injuries and until recently was seeing a chiropractor three times a week, said some victims were wondering ...
Summer's best outdoor gear - 10 great buys
Tahoe.com, Nevada -
Universally appealing is a sandal with enough mid-sole for running and hiking, non-failing closure system (Velcro wears out), quick dry capability and toe ...
Closure at last for parents
Holbrook Chronicle, Australia - May 6, 2008
The second of seven children, he died during birth, the umbilical cord around his neck. ?After he was born they lay him on my stomach and the doctor told me ...
Taxi Cab Driver Shot in Neck Wants Justice
KHON2, HI - May 6, 2008
Today - kim stood before a circuit court judge looking for closure. And to learn the fate of the man accused of shooting him. According to police - Kim ...
Tom Richmond: Take my advice Gordon ? think again
Yorkshire Post, UK -
Simplify the tax system ? The 10p tax farce remains the albatross around Brown's neck. Yet what I cannot comprehend is a system where the Government can ...
Source: Google News

Concomitant Bladder Neck Closure and Mitrofanoff Diversion for the Management of Intractable Urinary … -
VR Jayanthi, BM Churchill, GA McLorie, AE Khoury - The Journal of Urology, 1995 - Elsevier
... 1 to 20 years old have undergone bladder neck closure in conjunction ... was performed
as a salvage procedure in ... 96 percent) were totally continent, requiring no ...

CONCOMITANT MODIFIED BLADDER NECK CLOSURE AND MITROFANOFF URINARY DIVERSION -
AE KHOURY, SK AGARWAL, D B?GLI, P MERGUERIAN, GA … - The Journal of Urology, 1999 - Elsevier
... bladder neck closure with construction of a catheterizable continent conduit using
the ... Bladder neck closure was performed as a salvage operation because it ...

SALVAGE PROSTATECTOMY WITH CONTINENT CATHETERIZABLE URINARY RECONSTRUCTION: A NOVEL APPROACH TO … -
LL PISTERS, SF ENGLISH, SM SCOTT, OL WESTNEY, CPN … - The Journal of Urology, 2000 - Elsevier
... prostatectomy with continent catheterizable reconstruction ... therapy underwent salvage
prostatectomy with complete bladder neck closure and reconstruction ...

BILATERAL SINGLE URETERAL ECTOPIA: DIFFICULTY ATTAINING CONTINENCE USING STANDARD BLADDER NECK … -
VR Jayanthi, BM Churchill, AE Khoury, GA McLorie - The Journal of Urology, 1997 - Elsevier
... there are data suggesting no major morbidity with bladder neck closure, 12 and ... However,
bladder neck reconstruction, especially as a salvage procedure, most ...

A TECHNIQUE OF BLADDER NECK CLOSURE COMBINING PROSTATECTOMY AND INTESTINAL INTERPOSITION FOR … -
NFE ULLRICH, H WESSELLS - The Journal of Urology, 2002 - Elsevier
... et al., Concomitant modified bladder neck closure and Mitrofanoff ... SM Scott et al.,
Salvage prostatectomy with continent catheterizable urinary ...

Detrusorectomy for Neuropathic Bladder in Patients with Spinal Dysraphism -
P DIK, GD TSACHOURIDIS, AJ KLIJN, C UITERWAAL, T … - The Journal of Urology, 2003 - Elsevier
... prepared for use as a sling around the bladder neck. ... to use the Cohen technique?
following closure of the ... and 1 patient requiring a salvage procedure received ...

THE USE OF THE APPENDIX AS A CONTINENT CATHETERIZABLE STOMA -
SF ENGLISH, LL PISTERS, EJ MCGUIRE - The Journal of Urology, 1998 - Elsevier
... to the skin that would be continent at normal ... Following any planned procedure, such
as salvage prostatectomy and bladder neck closure or bladder ...

Continent bladder stoma -
NT Dunglison, RA Gardiner - World Journal of Urology, 2003 - Springer
... I, Mor Y, Avigad I (1993) Bladder neck closure with an ... outlet as a technique for
continent vesicostomy. ... F, Stock JA (1999) Salvage continent vesicostomy after ...

Salvage radical prostatectomy: Refinement of an effective procedure -
LL Pisters - Seminars in Radiation Oncology, 2003 - Elsevier
... 4. Salvage radical prostatectomy with continent catherizable urinary reconstruction. ...
An omental pedicle flap is placed over the bladder neck closure. ...

Techniques to create continence in the failed bladder exstrophy closure patient. -
JP Gearhart, DA Canning, DS Peppas, RD Jeffs - J Urol, 1993 - ncbi.nlm.nih.gov
... Virtually all patients who failed the initial closure and later bladder neck
reconstruction for ... Of 28 patients who underwent salvage procedures only 1 had ...

Source: Google Scholar

Salvage Prostatectomy With Bladder Neck Closure, Continent Catheterizable Stoma And Bladder Augmentation
UroToday.com- Although there is strong evidence to suggest that salvage prostatectomy or cryotherapy may cure a subset of patients with recurrent prostate cancer after radiation therapy these aggressive therapies cause substantial morbidity. The main long-term complication is urinary incontinence which is reported to occur in 45-80% of patients. This incontinence is often severe and refractory to treatment. Previous reports on salvage prostatectomy with bladder neck closure and continent catherizable stomas were troubled with persistent urgency, low capacities, and the need for frequent catherizations. Because of this, the addition of bladder augmentation to this procedure was entertained.
A recent manuscript by E. De, O. L. Westney and colleagues from Albany Medical Center and M. D. Anderson Cancer Center in Houston reports on a series of patients with recurrent prostate cancer after radiation therapy that underwent salvage prostatectomy, bladder neck closure, bladder augmentation, and creation of catherizable stomas. The mean time to surgery after radiation was 61 months. Mean patient age at surgery was 59.5 years. The paper is published in the June 2007 issue of the Journal of Urology.

Eleven patients underwent the above procedure with either catherizable appendicovesicostomy or Monti ileovesicostomy over a 2.5 year period. Self-reported outcome measures included patient questionnaires and the validated Incontinence Symptom Index. Mean follow-up was 32 months.

Analysis of the results showed that the physician noted that 8 of the 11 patients (73%) were dry. Nine of the 11 patients returned the questionnaire. Only 2 of these (22%) reported requiring pads for incontinence. Forty-four percent reported no leakage and only 3 (33%) reported leakage more frequently than once weekly. Three of the 11 (27%) required stomal revision at an average of 24 months, of whom 2 still reported difficult catherization. The mean catherization interval was 3.75 hours versus 2 to 6 hours in the previous series without the bladder augmentation. Seven of the 9 patients (77%) reported that they would repeat the procedure again. The authors report that 10 patients who underwent an attempt and salvage prostatectomy and urethral anastomosis during this time and this group had a 50% incontinence rate and a 40% bladder neck contracture rate.
Of the 11 patients, 3 progressed to metastatic disease, one of whom died. An additional 2 patients had biochemical recurrence that was responsive to hormonal therapy. The editorial comment by Victor Netti suggested that pre-operative urodynamic studies may help determine which patients require the added step of augmentation while undergoing this aggressive surgical management for recurrent prostate cancer after radiation therapy.

De E, Pisters LL, Pettaway CA, Scott S, Westney OL

J Urol. 177(6): 2200-4, June 2007
doi:10.1016/j.juro.2007.01.151

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