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Laparoscopic bladder auto-augmentation in an incomplete traumatic spinal cord injury
S Siracusano1, C Trombetta, G Liguori
1Department of Urology, University of Trieste, Italy.
Objectives:
To assess the urodynamic and clinical outcome of a laparoscopic auto-augmentated bladder.
Methods:
Laparoscopic bladder autoaugmentation in a 27-year-old woman with an incomplete spinal cord injury at T12 level with urge incontinence caused by a hyperreflexic bladder.
Results:
Six months later the patient voids by Valsalva's manoeuvre every 3 h and remains dry day and night. The radio-urodynamic study, performed 2 months later, revealed an intact bladder with a diverticulum of anterior wall and a capacity of 510 ml with filling rate of 100 ml/min without evidence of leakage of infusion water.
Conclusion:
Laparoscopic retropubic auto-augmentation allows a brief hospital stay and minor postoperative discomfort. Moreover the laparoscopic approach should not complicate or preclude subsequent enterocystoplasty if necessary.