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[Cystoplasties in children].

P Meria1, G Audry, J Bruézière

  • 1Service de Chirurgie Viscérale, Pavillon Chigot, Hôpital Trousseau, Paris.

Annales D'Urologie
|January 1, 1992
PubMed
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Enterocystoplasty is a successful surgical technique for children with bladder dysfunction, such as neuropathic bladder and exstrophy. This procedure enlarges the bladder, addressing reservoir capacity issues and improving urinary continence.

Area of Science:

  • Pediatric Urology
  • Surgical Reconstruction
  • Bladder Augmentation

Background:

  • Bladder reservoir function impairment, seen in conditions like neuropathic bladder and bladder exstrophy, necessitates surgical intervention in pediatric patients.
  • Enterocystoplasty is a recognized surgical solution for bladder enlargement in children facing these challenges.

Observation:

  • The choice of enterocystoplasty technique depends on the specific degree of bladder alteration.
  • Detubularization of the bowel segment is a mandatory step, irrespective of the bowel's origin.
  • Achieving adequate peripheral resistance for effective bladder filling and voiding, while preventing urine leakage, is a primary surgical consideration, especially in male patients.

Findings:

  • Enterocystoplasty effectively enlarges the bladder, restoring reservoir function in pediatric cases.

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  • Careful technique selection and bowel segment preparation are crucial for successful outcomes.
  • In female patients, combining enterocystoplasty with the Gobbel-Stockel procedure facilitates continence between self-catheterization intervals.
  • Implications:

    • Enterocystoplasty offers a viable solution for improving bladder capacity and function in children with severe bladder dysfunction.
    • The findings highlight the importance of tailored surgical approaches based on individual patient anatomy and pathology.
    • Successful enterocystoplasty can significantly enhance the quality of life for children with conditions affecting bladder reservoir function.