Related Experiment Videos
Detrusorectomy with rectus muscle hitch and backing
Sava V Perovic1, Miroslav L J Djordjevic, Zoran K Kekic
1Department of Urology, University Children's Hospital, Belgrade, Yugoslavia.
Journal of Pediatric Surgery
|November 14, 2003
Summary
This study introduces detrusorectomy with rectus muscle hitch and backing for bladder autoaugmentation. The procedure safely increased bladder capacity and compliance in pediatric patients with neurogenic bladders.
Area of Science:
- Urology
- Pediatric Surgery
- Reconstructive Surgery
Background:
- Bladder autoaugmentation aims to increase bladder capacity and compliance.
- Traditional methods involve detrusorotomy or detrusorectomy with colonic or gastric patches.
- A novel approach utilizes rectus muscle for bladder augmentation.
Purpose of the Study:
- To present initial experiences with detrusorectomy using rectus muscle for hitch and backing in bladder autoaugmentation.
- To evaluate the safety and efficacy of this technique in pediatric patients.
Main Methods:
- Detrusorectomy was performed on 19 pediatric patients (ages 4-12) with neurogenic bladders.
- Rectus muscles were dissected and urothelium was sutured to them for bladder fixation and augmentation.
- The procedure involved detrusorectomy of the upper half of the bladder to reshape prolapsed urothelium.
Main Results:
- Follow-up ranged from 6 to 35 months.
- All patients demonstrated increased bladder capacity (190-411 ml) and improved compliance.
- Clinical improvement was observed in all treated patients.
Conclusions:
- Detrusorectomy with rectus muscle hitch and backing is a safe and simple bladder augmentation procedure.
- Further long-term studies are necessary to establish the definitive value of this technique.