Publications by authors named "Michel I A Wyndaele"
Introduction: A continent catheterizable channel (CCC) may be a solution for patients with impaired bladder emptying and difficult transurethral access. Leakage of the CCC is a common complication. To prevent leakage, the pressure in the CCC has to be higher than the reservoir (bladder/pouch) pressure in at least one location.
View Article and Find Full Text PDFObjective: To describe a modified, less invasive, surgical technique to create a continent catheterizable channel (CCC) in adults: the tubularized bladder flap (TBF).
Materials And Methods: We retrospectively reviewed records of patients in whom a TBF CCC was constructed at adult age between 2019 and 2023. We reported on demographics, operative outcomes, and 30-day and post-30-day complications.
Article Synopsis
- Posterior hypospadias is a serious congenital condition that significantly impacts patients' lifelong quality of life and presents ongoing surgical challenges, leading to complications through adulthood.
- A network meeting in Utrecht aimed to identify gaps in the lifelong treatment approach for these patients, focusing on improving care, quality of life, and awareness.
- Critical recommendations include enhancing patient involvement in treatment decisions, standardizing data collection at a European level, and fostering collaboration among researchers, clinicians, and patients to explore innovative solutions like tissue engineering.
Introduction: Continent catheterizable channels (CCC) provide an alternative route to the bladder in both pediatric and adult patients. This study compared very long-term complications and revision-free survival of three different CCC techniques: appendicovesicostomy (AVS), ileum (Monti), and tubularized bladder flap (TBF).
Materials And Methods: A retrospective cohort study was performed.
Introduction: An Indiana Pouch (IP) is a heterotopic, continent, urinary diversion from an ileocolonic segment. Numerous studies have investigated its long-term outcomes, albeit none extending beyond a 5-year follow-up period. IPs can be used as urinary diversion for benign indications and as such are constructed in typically young patients.
View Article and Find Full Text PDFStudy Design: Secondary analysis of multicentre prospective observational data.
Objectives: To describe methods of bladder emptying at admission and discharge in patients with recently acquired spinal cord injury (SCI) and to describe predictors of bladder emptying methods at discharge.
Setting: First inpatient rehabilitation in specialised rehabilitation centres in the Netherlands.
Objective: To evaluate the relation between clinically relevant stricture recurrence after first urethroplasty and prior endoscopic treatments (dilatation and/or direct visual internal urethrotomy) or intermittent self-dilatation (ISD).
Methods: Patients with bulbar urethral strictures treated with first urethroplasty between 2011 and April 2019 were included in a prospectively gathered database with standardized follow-up. Stricture recurrence was defined as any need for reintervention.