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[Creation of artificial urinary bladder in children]

V V Nikolaev, A T Braev, S V Shamatrin

    Urologiia (Moscow, Russia : 1999)
    |August 17, 2001
    PubMed

    Insights

    Creating an artificial urinary bladder in children using intestinal segments, ileocystoplasty with a detubulized segment is preferred for fewer long-term complications and better function.

    Area of Science:

    • Urology
    • Pediatric Surgery
    • Gastrointestinal Surgery

    Context:

    • Artificial urinary bladder construction is necessary in children with absent or reduced bladder reservoir function.
    • Enterocystoplasty, using intestinal segments, has been performed since 1990, with various techniques and materials employed.

    Purpose:

    • To evaluate the outcomes and complications of enterocystoplasty in pediatric patients.
    • To compare the efficacy of colocystoplasty versus ileocystoplasty with a detubulized segment.

    Summary:

    • Thirty-six children underwent enterocystoplasty (15 colocystoplasty, 21 ileocystoplasty with detubulized segment). Holding conduits were created in 31 patients.
    • Early complications included ileus and peritonitis in 6 patients. Long-term follow-up (1-9 years) showed 29 patients required catheterization, 4 had enuresis.
    • Concrements formed in 8/15 colocystoplasty and 1/21 ileocystoplasty patients. Ileocystoplasty with a detubulized segment, holding conduit, and bladder neck occlusion was preferred due to fewer long-term complications, larger volume, low filling pressure, and reduced mucus production.

    Impact:

    • Ileocystoplasty with a detubulized segment demonstrates a favorable profile for pediatric artificial bladder creation, offering improved functional outcomes and reduced long-term morbidity.
    • This technique provides a viable solution for bladder reconstruction in children, enhancing quality of life by minimizing complications and improving bladder capacity.

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