{"id":"https://openalex.org/W7224090686","doi":"https://doi.org/10.1002/nau.70517","title":"Difficult\u2010to\u2010Catheterize Continent Channel Revision: Techniques and Outcomes in an Adult Cohort","display_name":"Difficult\u2010to\u2010Catheterize Continent Channel Revision: Techniques and Outcomes in an Adult Cohort","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224090686","doi":"https://doi.org/10.1002/nau.70517","pmid":"https://pubmed.ncbi.nlm.nih.gov/42949183"},"language":"en","primary_location":{"id":"doi:10.1002/nau.70517","doi":"https://doi.org/10.1002/nau.70517","is_oa":true,"landing_page_url":"https://doi.org/10.1002/nau.70517","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/nau.70517","source":{"id":"https://openalex.org/S22797964","display_name":"Neurourology and Urodynamics","issn_l":"0733-2467","issn":["0733-2467","1520-6777"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurourology and Urodynamics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/nau.70517","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075128473","display_name":"Brian W. Chao","orcid":"https://orcid.org/0000-0003-0862-7652","observed_orcids":["https://orcid.org/0000-0003-0862-7652"]},"institutions":[{"id":"https://openalex.org/I130238516","display_name":"University of Minnesota","ror":"https://ror.org/017zqws13","country_code":"US","type":"education","lineage":["https://openalex.org/I130238516"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Brian W. Chao","raw_affiliation_strings":["Department of Urology University of Minnesota Medical School Minneapolis Minnesota USA"],"raw_orcid":"https://orcid.org/0000-0003-0862-7652","affiliations":[{"raw_affiliation_string":"Department of Urology University of Minnesota Medical School Minneapolis Minnesota USA","institution_ids":["https://openalex.org/I130238516"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068511710","display_name":"John P. Ratanawong","orcid":"https://orcid.org/0000-0002-5224-0810","observed_orcids":["https://orcid.org/0000-0002-5224-0810"]},"institutions":[{"id":"https://openalex.org/I130238516","display_name":"University of Minnesota","ror":"https://ror.org/017zqws13","country_code":"US","type":"education","lineage":["https://openalex.org/I130238516"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John P. Ratanawong","raw_affiliation_strings":["Department of Urology University of Minnesota Medical School Minneapolis Minnesota USA"],"raw_orcid":"https://orcid.org/0000-0002-5224-0810","affiliations":[{"raw_affiliation_string":"Department of Urology University of Minnesota Medical School Minneapolis Minnesota USA","institution_ids":["https://openalex.org/I130238516"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006597137","display_name":"Alysen L. Demzik","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1285301757","display_name":"Rush University Medical Center","ror":"https://ror.org/01j7c0b24","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1285301757"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alysen Demzik","raw_affiliation_strings":["Department of Urology Rush University Medical Center Chicago Illinois USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology Rush University Medical Center Chicago Illinois USA","institution_ids":["https://openalex.org/I1285301757"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114128845","display_name":"Shawn Grove","orcid":"https://orcid.org/0000-0003-4356-0908","observed_orcids":["https://orcid.org/0000-0003-4356-0908"]},"institutions":[{"id":"https://openalex.org/I130238516","display_name":"University of Minnesota","ror":"https://ror.org/017zqws13","country_code":"US","type":"education","lineage":["https://openalex.org/I130238516"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shawn Grove","raw_affiliation_strings":["Department of Urology University of Minnesota Medical School Minneapolis Minnesota USA"],"raw_orcid":"https://orcid.org/0000-0003-4356-0908","affiliations":[{"raw_affiliation_string":"Department of Urology University of Minnesota Medical School Minneapolis Minnesota USA","institution_ids":["https://openalex.org/I130238516"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5029449795","display_name":"Sean P. Elliott","orcid":"https://orcid.org/0000-0002-5280-2449","observed_orcids":["https://orcid.org/0000-0002-5280-2449"]},"institutions":[{"id":"https://openalex.org/I130238516","display_name":"University of Minnesota","ror":"https://ror.org/017zqws13","country_code":"US","type":"education","lineage":["https://openalex.org/I130238516"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sean P. Elliott","raw_affiliation_strings":["Department of Urology University of Minnesota Medical School Minneapolis Minnesota USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology University of Minnesota Medical School Minneapolis Minnesota USA","institution_ids":["https://openalex.org/I130238516"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5075128473"],"corresponding_institution_ids":["https://openalex.org/I130238516"],"apc_list":{"value":3860,"currency":"USD","value_usd":3860},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.89176061,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":0.4424000084400177,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":0.4424000084400177,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12769","display_name":"Stoma care and complications","score":0.3481000065803528,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10418","display_name":"Pelvic floor disorders treatments","score":0.049800001084804535,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/continent-catheterizable-channel","display_name":"continent catheterizable channel","score":0.9559999704360962},{"id":"https://openalex.org/keywords/catheterization-difficulty","display_name":"catheterization difficulty","score":0.6190000176429749},{"id":"https://openalex.org/keywords/stomal-stenosis","display_name":"stomal stenosis","score":0.9150000214576721},{"id":"https://openalex.org/keywords/parastomal-hernia","display_name":"parastomal hernia","score":0.8970000147819519},{"id":"https://openalex.org/keywords/stress-urinary-incontinence","display_name":"stress urinary incontinence","score":0.8190000057220459}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9642999768257141},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6897000074386597},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.6003000140190125},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.5368000268936157},{"id":"https://openalex.org/C2779523193","wikidata":"https://www.wikidata.org/wiki/Q3797702","display_name":"Stress incontinence","level":3,"score":0.41200000047683716},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.3930000066757202},{"id":"https://openalex.org/C2778754067","wikidata":"https://www.wikidata.org/wiki/Q354111","display_name":"Abdominal wall","level":2,"score":0.37229999899864197},{"id":"https://openalex.org/C2779096551","wikidata":"https://www.wikidata.org/wiki/Q133076","display_name":"Hernia","level":2,"score":0.3449000120162964},{"id":"https://openalex.org/C127162648","wikidata":"https://www.wikidata.org/wiki/Q16858953","display_name":"Channel (broadcasting)","level":2,"score":0.34470000863075256},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.319599986076355},{"id":"https://openalex.org/C2780120127","wikidata":"https://www.wikidata.org/wiki/Q743664","display_name":"Abdominal surgery","level":2,"score":0.31290000677108765},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3109999895095825},{"id":"https://openalex.org/C2780073493","wikidata":"https://www.wikidata.org/wiki/Q7523837","display_name":"Single Center","level":2,"score":0.3070000112056732},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.2978000044822693},{"id":"https://openalex.org/C2776813522","wikidata":"https://www.wikidata.org/wiki/Q1147182","display_name":"Fecal incontinence","level":2,"score":0.27239999175071716},{"id":"https://openalex.org/C2780047204","wikidata":"https://www.wikidata.org/wiki/Q675754","display_name":"Laparoscopy","level":2,"score":0.2583000063896179}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1002/nau.70517","doi":"https://doi.org/10.1002/nau.70517","is_oa":true,"landing_page_url":"https://doi.org/10.1002/nau.70517","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/nau.70517","source":{"id":"https://openalex.org/S22797964","display_name":"Neurourology and Urodynamics","issn_l":"0733-2467","issn":["0733-2467","1520-6777"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurourology and Urodynamics","raw_type":"journal-article"},{"id":"pmid:42949183","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42949183","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurourology and urodynamics","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1002/nau.70517","doi":"https://doi.org/10.1002/nau.70517","is_oa":true,"landing_page_url":"https://doi.org/10.1002/nau.70517","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/nau.70517","source":{"id":"https://openalex.org/S22797964","display_name":"Neurourology and Urodynamics","issn_l":"0733-2467","issn":["0733-2467","1520-6777"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurourology and Urodynamics","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9922999739646912}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224090686.pdf","grobid_xml":"https://content.openalex.org/works/W7224090686.grobid-xml"},"referenced_works_count":26,"referenced_works":["https://openalex.org/W132749656","https://openalex.org/W1709591613","https://openalex.org/W1965048282","https://openalex.org/W2014362818","https://openalex.org/W2024188613","https://openalex.org/W2033774005","https://openalex.org/W2049700928","https://openalex.org/W2062635185","https://openalex.org/W2069347232","https://openalex.org/W2081556908","https://openalex.org/W2085088921","https://openalex.org/W2090183388","https://openalex.org/W2093255220","https://openalex.org/W2127880251","https://openalex.org/W2521906373","https://openalex.org/W2561095521","https://openalex.org/W2752015819","https://openalex.org/W2754293140","https://openalex.org/W2772143348","https://openalex.org/W2801554223","https://openalex.org/W2945494486","https://openalex.org/W2973148718","https://openalex.org/W3035043238","https://openalex.org/W3043745531","https://openalex.org/W3123342161","https://openalex.org/W4389546695"],"related_works":["https://openalex.org/W2772143348","https://openalex.org/W2141012646","https://openalex.org/W4417296706","https://openalex.org/W2069347232","https://openalex.org/W4405106059","https://openalex.org/W2107856916","https://openalex.org/W2023838235","https://openalex.org/W2033774005","https://openalex.org/W1993511790","https://openalex.org/W7011198366"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Continent":[1],"catheterizable":[2,16,29,55,212],"channels":[3,17],"allow":[4],"patients":[5,52,139,189],"who":[6,140],"cannot":[7],"void":[8],"volitionally":[9],"to":[10,20,233],"maintain":[11],"quality":[12],"of":[13,41,50,112,161,245],"life.":[14],"However,":[15],"are":[18,34,38],"susceptible":[19],"various":[21],"pathologies,":[22],"which":[23],"may":[24],"necessitate":[25],"revision.":[26],"Outcomes":[27],"after":[28,195],"channel":[30,56,72,88,118,153,183,193,213],"revision":[31,57,68,102,214],"in":[32,81],"adults":[33],"poorly":[35],"described":[36],"and":[37,64,77,116,152,179,250],"the":[39,113,235,243],"focus":[40],"this":[42],"investigation.":[43],"METHODS:":[44],"We":[45,136],"conducted":[46],"a":[47,59,104,121,158,200],"retrospective":[48,207],"review":[49],"adult":[51],"undergoing":[53],"continent":[54,211],"at":[58],"single":[60],"institution":[61],"between":[62],"2011":[63],"2024.":[65],"Indications":[66],"for":[67,87,132,171,176,182,227],"included":[69],"stomal":[70,148],"or":[71],"stenosis,":[73],"redundancy,":[74],"false":[75],"passage,":[76],"parastomal":[78,201,251],"hernia":[79],"resulting":[80],"difficulty":[82],"catheterizing.":[83],"Revisions":[84],"performed":[85],"solely":[86],"incontinence":[89,194,249],"were":[90,93,147,167],"excluded.":[91],"Surgeries":[92],"categorized":[94],"by":[95],"repair":[96],"type:":[97],"(1)":[98],"suprafascial,":[99],"involving":[100],"superficial":[101],"with":[103,120,218],"local":[105],"skin":[106],"flap,":[107],"(2)":[108],"subfascial,":[109],"requiring":[110],"mobilization":[111],"intraperitoneal":[114],"channel,":[115],"(3)":[117],"replacement":[119,184],"new":[122,192],"bowel":[123],"segment.":[124],"The":[125],"primary":[126],"outcome":[127],"was":[128],"freedom":[129],"from":[130],"reoperation":[131],"recurrent":[133],"stenosis.":[134],"RESULTS:":[135],"identified":[137],"45":[138],"underwent":[141],"54":[142],"revisions.":[143],"Common":[144],"surgical":[145],"indications":[146],"stenosis":[149,154],"(24/54,":[150],"44%)":[151],"(27/54,":[155],"50%).":[156],"Over":[157],"median":[159],"follow-up":[160],"46":[162],"months,":[163],"41/54":[164],"(76%)":[165],"revisions":[166],"successful:":[168],"13/19":[169],"(68%)":[170],"suprafascial":[172],"revision,":[173,178],"18/20":[174],"(90%)":[175],"subfascial":[177],"10/15":[180],"(67%)":[181],"(p":[185],"=":[186],"0.178).":[187],"Eight":[188],"(15%)":[190],"developed":[191,199],"surgery;":[196],"two":[197],"(4%)":[198],"hernia.":[202,252],"Study":[203],"limitations":[204],"include":[205],"its":[206],"design.":[208],"CONCLUSIONS:":[209],"Adult":[210],"can":[215],"be":[216,231,240],"accomplished":[217],"satisfactory":[219],"success":[220],"rates.":[221],"When":[222],"abdominal":[223],"entry":[224],"is":[225],"necessary":[226],"reconstruction,":[228],"efforts":[229],"should":[230,239],"made":[232],"preserve":[234],"existing":[236],"channel.":[237],"Patients":[238],"counseled":[241],"about":[242],"risks":[244],"de":[246],"novo":[247],"stress":[248]},"counts_by_year":[],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2026-10-29T00:00:00"}
