Treatment guidelines for persistent cloaca, cloacal exstrophy, and Mayer–Rokitansky–Küster–Häuser syndrome for the appropriate transitional care of patients

Masayuki Kubota, Yutaka Osuga, Kiyoko Kato, Kenji Ishikura, Kazunari Kaneko, Kohhei Akazawa, Takeo Yonekura, Yuko Tazuke, Satoshi Ieiri, Akihiko Fujino, Shigeru Ueno, Yutaro Hayashi, Kaoru Yoshino, Toshihiro Yanai, Jun Iwai, Takanori Yamaguchi, Shintaro Amae, Yuichiro Yamazaki, Yoshifumi Sugita, Miyuki KohnoYutaka Kanamori, Yuko Bitoh, Masato Shinkai, Yasuharu Ohno, Yoshiaki Kinoshita

研究成果: ジャーナルへの寄稿評論記事

抄録

We developed treatment guidelines (TGs) for appropriate transitional care of the genitourinary system in patients with persistent cloaca (PC), cloacal exstrophy (CE), or Mayer–Rokitansky–Küster–Häuser syndrome (MRKH). These TGs are in accordance with the Medical Information Network Distribution Service (Minds), published in 2014 in Japan. Clinical questions (CQs) concerning treatment outcomes of the genitourinary system, pregnancy and delivery, and quality of life in adulthood were prepared as six themes for PC and CE and five themes for MRKH. We were able to publish statements on chronic renal dysfunction, hydrometrocolpos, and pregnancy, based on four CQs about PC, four about CE, and two about MRKH, respectively. However, due to the paucity of proper manuscripts, we were unable to make conclusions about the correct timing and method of vaginoplasty for patients with PC, CE, and MRKH or the usefulness of early bladder closure for patients with CE. These TGs may help clarify the current treatments for PC, CE, and MRKH in childhood, which have been carried out on an institutional basis. To improve clinical outcomes, systematic clinical trials revealing comprehensive clinical data of the urinary and reproductive systems, especially the length of the common channel in PC, are essential.

元の言語英語
ジャーナルSurgery today
DOI
出版物ステータス出版済み - 1 1 2019

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Cloaca
Guidelines
Urogenital System
Therapeutics
Pregnancy
Information Services
Manuscripts
Information Dissemination
Transitional Care
Japan
Urinary Bladder
Quality of Life
Clinical Trials
Kidney

All Science Journal Classification (ASJC) codes

  • Surgery

これを引用

Treatment guidelines for persistent cloaca, cloacal exstrophy, and Mayer–Rokitansky–Küster–Häuser syndrome for the appropriate transitional care of patients. / Kubota, Masayuki; Osuga, Yutaka; Kato, Kiyoko; Ishikura, Kenji; Kaneko, Kazunari; Akazawa, Kohhei; Yonekura, Takeo; Tazuke, Yuko; Ieiri, Satoshi; Fujino, Akihiko; Ueno, Shigeru; Hayashi, Yutaro; Yoshino, Kaoru; Yanai, Toshihiro; Iwai, Jun; Yamaguchi, Takanori; Amae, Shintaro; Yamazaki, Yuichiro; Sugita, Yoshifumi; Kohno, Miyuki; Kanamori, Yutaka; Bitoh, Yuko; Shinkai, Masato; Ohno, Yasuharu; Kinoshita, Yoshiaki.

:: Surgery today, 01.01.2019.

研究成果: ジャーナルへの寄稿評論記事

Kubota, M, Osuga, Y, Kato, K, Ishikura, K, Kaneko, K, Akazawa, K, Yonekura, T, Tazuke, Y, Ieiri, S, Fujino, A, Ueno, S, Hayashi, Y, Yoshino, K, Yanai, T, Iwai, J, Yamaguchi, T, Amae, S, Yamazaki, Y, Sugita, Y, Kohno, M, Kanamori, Y, Bitoh, Y, Shinkai, M, Ohno, Y & Kinoshita, Y 2019, 'Treatment guidelines for persistent cloaca, cloacal exstrophy, and Mayer–Rokitansky–Küster–Häuser syndrome for the appropriate transitional care of patients', Surgery today. https://doi.org/10.1007/s00595-019-01810-z
Kubota, Masayuki ; Osuga, Yutaka ; Kato, Kiyoko ; Ishikura, Kenji ; Kaneko, Kazunari ; Akazawa, Kohhei ; Yonekura, Takeo ; Tazuke, Yuko ; Ieiri, Satoshi ; Fujino, Akihiko ; Ueno, Shigeru ; Hayashi, Yutaro ; Yoshino, Kaoru ; Yanai, Toshihiro ; Iwai, Jun ; Yamaguchi, Takanori ; Amae, Shintaro ; Yamazaki, Yuichiro ; Sugita, Yoshifumi ; Kohno, Miyuki ; Kanamori, Yutaka ; Bitoh, Yuko ; Shinkai, Masato ; Ohno, Yasuharu ; Kinoshita, Yoshiaki. / Treatment guidelines for persistent cloaca, cloacal exstrophy, and Mayer–Rokitansky–Küster–Häuser syndrome for the appropriate transitional care of patients. :: Surgery today. 2019.
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abstract = "We developed treatment guidelines (TGs) for appropriate transitional care of the genitourinary system in patients with persistent cloaca (PC), cloacal exstrophy (CE), or Mayer–Rokitansky–K{\"u}ster–H{\"a}user syndrome (MRKH). These TGs are in accordance with the Medical Information Network Distribution Service (Minds), published in 2014 in Japan. Clinical questions (CQs) concerning treatment outcomes of the genitourinary system, pregnancy and delivery, and quality of life in adulthood were prepared as six themes for PC and CE and five themes for MRKH. We were able to publish statements on chronic renal dysfunction, hydrometrocolpos, and pregnancy, based on four CQs about PC, four about CE, and two about MRKH, respectively. However, due to the paucity of proper manuscripts, we were unable to make conclusions about the correct timing and method of vaginoplasty for patients with PC, CE, and MRKH or the usefulness of early bladder closure for patients with CE. These TGs may help clarify the current treatments for PC, CE, and MRKH in childhood, which have been carried out on an institutional basis. To improve clinical outcomes, systematic clinical trials revealing comprehensive clinical data of the urinary and reproductive systems, especially the length of the common channel in PC, are essential.",
author = "Masayuki Kubota and Yutaka Osuga and Kiyoko Kato and Kenji Ishikura and Kazunari Kaneko and Kohhei Akazawa and Takeo Yonekura and Yuko Tazuke and Satoshi Ieiri and Akihiko Fujino and Shigeru Ueno and Yutaro Hayashi and Kaoru Yoshino and Toshihiro Yanai and Jun Iwai and Takanori Yamaguchi and Shintaro Amae and Yuichiro Yamazaki and Yoshifumi Sugita and Miyuki Kohno and Yutaka Kanamori and Yuko Bitoh and Masato Shinkai and Yasuharu Ohno and Yoshiaki Kinoshita",
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T1 - Treatment guidelines for persistent cloaca, cloacal exstrophy, and Mayer–Rokitansky–Küster–Häuser syndrome for the appropriate transitional care of patients

AU - Kubota, Masayuki

AU - Osuga, Yutaka

AU - Kato, Kiyoko

AU - Ishikura, Kenji

AU - Kaneko, Kazunari

AU - Akazawa, Kohhei

AU - Yonekura, Takeo

AU - Tazuke, Yuko

AU - Ieiri, Satoshi

AU - Fujino, Akihiko

AU - Ueno, Shigeru

AU - Hayashi, Yutaro

AU - Yoshino, Kaoru

AU - Yanai, Toshihiro

AU - Iwai, Jun

AU - Yamaguchi, Takanori

AU - Amae, Shintaro

AU - Yamazaki, Yuichiro

AU - Sugita, Yoshifumi

AU - Kohno, Miyuki

AU - Kanamori, Yutaka

AU - Bitoh, Yuko

AU - Shinkai, Masato

AU - Ohno, Yasuharu

AU - Kinoshita, Yoshiaki

PY - 2019/1/1

Y1 - 2019/1/1

N2 - We developed treatment guidelines (TGs) for appropriate transitional care of the genitourinary system in patients with persistent cloaca (PC), cloacal exstrophy (CE), or Mayer–Rokitansky–Küster–Häuser syndrome (MRKH). These TGs are in accordance with the Medical Information Network Distribution Service (Minds), published in 2014 in Japan. Clinical questions (CQs) concerning treatment outcomes of the genitourinary system, pregnancy and delivery, and quality of life in adulthood were prepared as six themes for PC and CE and five themes for MRKH. We were able to publish statements on chronic renal dysfunction, hydrometrocolpos, and pregnancy, based on four CQs about PC, four about CE, and two about MRKH, respectively. However, due to the paucity of proper manuscripts, we were unable to make conclusions about the correct timing and method of vaginoplasty for patients with PC, CE, and MRKH or the usefulness of early bladder closure for patients with CE. These TGs may help clarify the current treatments for PC, CE, and MRKH in childhood, which have been carried out on an institutional basis. To improve clinical outcomes, systematic clinical trials revealing comprehensive clinical data of the urinary and reproductive systems, especially the length of the common channel in PC, are essential.

AB - We developed treatment guidelines (TGs) for appropriate transitional care of the genitourinary system in patients with persistent cloaca (PC), cloacal exstrophy (CE), or Mayer–Rokitansky–Küster–Häuser syndrome (MRKH). These TGs are in accordance with the Medical Information Network Distribution Service (Minds), published in 2014 in Japan. Clinical questions (CQs) concerning treatment outcomes of the genitourinary system, pregnancy and delivery, and quality of life in adulthood were prepared as six themes for PC and CE and five themes for MRKH. We were able to publish statements on chronic renal dysfunction, hydrometrocolpos, and pregnancy, based on four CQs about PC, four about CE, and two about MRKH, respectively. However, due to the paucity of proper manuscripts, we were unable to make conclusions about the correct timing and method of vaginoplasty for patients with PC, CE, and MRKH or the usefulness of early bladder closure for patients with CE. These TGs may help clarify the current treatments for PC, CE, and MRKH in childhood, which have been carried out on an institutional basis. To improve clinical outcomes, systematic clinical trials revealing comprehensive clinical data of the urinary and reproductive systems, especially the length of the common channel in PC, are essential.

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DO - 10.1007/s00595-019-01810-z

M3 - Review article

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JO - Surgery Today

JF - Surgery Today

SN - 0941-1291

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