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Related Experiment Videos

Perforation of the augmented bladder.

S B Bauer1, W H Hendren, H Kozakewich

  • 1Department of Surgery, Children's Hospital, Boston, Massachusetts.

The Journal of Urology
|August 1, 1992
PubMed
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Enterocystoplasty, a bladder augmentation technique, can lead to spontaneous perforations in children, particularly those with myelodysplasia. Detubularization methods may contribute to ischemia, increasing perforation risk when the augmented bladder is overdistended.

Area of Science:

  • Pediatric Surgery
  • Urology
  • Gastrointestinal Surgery

Background:

  • Enterocystoplasty is a surgical procedure used for bladder augmentation.
  • Complications such as spontaneous perforation can occur following enterocystoplasty.

Purpose of the Study:

  • To investigate the incidence and potential causes of spontaneous perforations in children following enterocystoplasty.

Main Methods:

  • Retrospective review of 264 children treated with enterocystoplasty.
  • Analysis of patient demographics, surgical techniques, clinical presentation, diagnostic findings, and histological results.

Main Results:

  • 12 of 264 children experienced 15 spontaneous perforations; 9 of these children had myelodysplasia.

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  • Common presenting signs included abdominal pain, septic shock, and shoulder pain.
  • Cystography confirmed leaks in most cases, and histological analysis suggested ischemia and suture granulomas as contributing factors.

    • Conclusions:

    • Spontaneous enterocystoplasty perforation is a serious complication, especially in myelodysplastic children.
    • Both overdistention and detubularization techniques potentially causing ischemia may contribute to perforation.