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Nonsecretory intestinocystoplasty: a 10-year experience
Salvador Vilar C Lima1, Luiz Alberto P Araújo, Fabio O Vilar
1Hospital das Clínicas, Federal University of Pernambuco and Hospital Infantil Manoel Almeida, Recife, Brazil.
The Journal of Urology
|May 1, 2004
Summary
Demucosalized intestine is a safe and effective option for bladder augmentation surgery, showing significant increases in bladder capacity and compliance with no adverse events like mucus formation or neoplasia.
Area of Science:
- Urology
- Surgical Reconstruction
- Gastrointestinal Surgery
Background:
- Bladder augmentation is crucial for managing conditions causing bladder dysfunction.
- Traditional methods carry risks, necessitating exploration of alternative materials.
- Demucosalized intestine offers a promising alternative for bladder reconstruction.
Purpose of the Study:
- To evaluate the long-term efficacy and safety of demucosalized intestine for bladder augmentation.
- To assess functional outcomes and complication rates in patients undergoing this procedure.
Main Methods:
- A retrospective analysis of 129 bladder augmentations using demucosalized sigmoid or ileum in 123 patients over 10 years.
- Patients had various conditions including neurogenic bladder and bladder exstrophy.
- Silicone molds were used in most cases; bladder neck cuffs were implanted in 32 patients.
Main Results:
- Significant improvements observed: bladder capacity increased by 329% and compliance by 7-fold.
- A low failure rate of 10.1% (13 cases) was reported, with successful reaugmentation in most.
- No instances of mucus formation, bladder perforation, or neoplasia were recorded.
Conclusions:
- Demucosalized intestine is a safe and effective material for bladder augmentation.
- It serves as a viable alternative to total bowel segments for reconstructive surgery.
- This technique offers good long-term functional outcomes with minimal complications.