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[Augmentation enterocystoplasty].

J Rigaud1, L Le Normand

  • 1Clinique urologique, CHU Hôtel Dieu, 1, place Alexis-Ricordeau, 44000 Nantes, France. jrigaud@chu-nantes.fr

Annales D'Urologie
|January 18, 2005
PubMed
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Augmentation enterocystoplasty, a bowel segment graft to the bladder, significantly improves bladder capacity and quality of life. While effective, potential long-term risks include infection, stones, and rare cancer development.

Area of Science:

  • Urology
  • Surgical Techniques
  • Gastrointestinal Surgery

Context:

  • Augmentation enterocystoplasty is a surgical procedure to increase bladder capacity.
  • It is indicated for reduced bladder capacity or compliance unresponsive to conservative treatments.
  • The ileum is the preferred bowel segment for this procedure.

Purpose:

  • To enhance bladder capacity and compliance.
  • To improve patient's urination comfort and quality of life.
  • To protect the upper urinary tract from potential damage.

Summary:

  • This technique involves grafting a detubulized bowel segment, typically the ileum, onto the bladder.
  • The bladder is often bi-valved, or a supra-trigonal cystectomy is performed for thickened bladders.

Related Experiment Videos

  • The grafted segment is sutured as a patch to augment the bladder.

    • Impact:

    • Over 90% of patients report improved quality of life and bladder competence (diurnal and nocturnal).
    • Potential long-term complications include chronic infections (70%), stone formation (10-15% within 2 years), and a 1% risk of cancer after 5-10 years.
    • A serious risk of enterocystoplasty perforation (5-13%) exists, which can be life-threatening.