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Evaluation of augmentation cystoplasty for severe neuropathic bladder using the hostility score.

Publication ,  Journal Article
Khoury, JM; Webster, GD
Published in: Dev Med Child Neurol
May 1992

In a retrospective study, the pre-operative urodynamic findings of 41 myelodysplastic patients who had undergone enterocystoplasty for intractable incontinence or deteriorating upper urinary-tracts were compared with findings from similar studies. An objective score combining five urodynamic parameters, the Hostility Score, was calculated before and after surgery to assess its clinical applicability in guiding and monitoring patient management. A score of greater than or equal to 5 should be avoided, if possible, as deleterious upper urinary-tract changes can occur even while on conservative management. In this series the mean pre-operative Hostility Score was 5.6, with 26 patients having a mean score of greater than or equal to 5. After surgery the mean score was reduced to 2.8, with no patient having a score of greater than 4. We conclude that the Hostility Score is a reliable tool for the management and follow-up of patients who have neurogenic bladder disease as a result of myelodysplasia.

Duke Scholars

Published In

Dev Med Child Neurol

DOI

ISSN

0012-1622

Publication Date

May 1992

Volume

34

Issue

5

Start / End Page

441 / 447

Location

England

Related Subject Headings

  • Vesico-Ureteral Reflux
  • Urodynamics
  • Urinary Reservoirs, Continent
  • Urinary Diversion
  • Urinary Bladder, Neurogenic
  • Reoperation
  • Postoperative Complications
  • Pediatrics
  • Neurologic Examination
  • Meningomyelocele
 

Citation

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Khoury, J. M., & Webster, G. D. (1992). Evaluation of augmentation cystoplasty for severe neuropathic bladder using the hostility score. Dev Med Child Neurol, 34(5), 441–447. https://doi.org/10.1111/j.1469-8749.1992.tb11457.x
Khoury, J. M., and G. D. Webster. “Evaluation of augmentation cystoplasty for severe neuropathic bladder using the hostility score.Dev Med Child Neurol 34, no. 5 (May 1992): 441–47. https://doi.org/10.1111/j.1469-8749.1992.tb11457.x.
Khoury JM, Webster GD. Evaluation of augmentation cystoplasty for severe neuropathic bladder using the hostility score. Dev Med Child Neurol. 1992 May;34(5):441–7.
Khoury, J. M., and G. D. Webster. “Evaluation of augmentation cystoplasty for severe neuropathic bladder using the hostility score.Dev Med Child Neurol, vol. 34, no. 5, May 1992, pp. 441–47. Pubmed, doi:10.1111/j.1469-8749.1992.tb11457.x.
Khoury JM, Webster GD. Evaluation of augmentation cystoplasty for severe neuropathic bladder using the hostility score. Dev Med Child Neurol. 1992 May;34(5):441–447.
Journal cover image

Published In

Dev Med Child Neurol

DOI

ISSN

0012-1622

Publication Date

May 1992

Volume

34

Issue

5

Start / End Page

441 / 447

Location

England

Related Subject Headings

  • Vesico-Ureteral Reflux
  • Urodynamics
  • Urinary Reservoirs, Continent
  • Urinary Diversion
  • Urinary Bladder, Neurogenic
  • Reoperation
  • Postoperative Complications
  • Pediatrics
  • Neurologic Examination
  • Meningomyelocele