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Published on: August 9, 2012

Bladder augmentation: complications in the pediatric population

Peter D Metcalfe1, Richard C Rink

  • 1Riley Hospital for Children, 702 N Barnhill Drive, Indianapolis, IN 46202, USA. pmetcalf@iupui.edu

Current Urology Reports
|February 17, 2007
PubMed

Insights

Bladder augmentation in children protects the urinary tract but carries risks. This review details common surgical and medical complications, aiding pediatric urologists in managing these serious issues.

Area of Science:

  • Pediatric Urology
  • Surgical Complications
  • Medical Complications

Background:

  • Bladder augmentation is crucial for pediatric urinary tract protection and continence.
  • It is a complex procedure associated with significant morbidity.
  • Understanding potential complications is vital for patient care.

Purpose of the Study:

  • To review the incidence and pathophysiology of common and serious complications following bladder augmentation in pediatric patients.
  • To provide a comprehensive overview of both surgical and medical adverse events.
  • To offer practical insights for pediatric urologists managing these complications.

Main Methods:

  • Comprehensive review of current and pertinent literature.
  • Analysis of incidence and pathophysiology of surgical complications (e.g., malignancy, bowel obstruction, bladder perforation).
  • Analysis of incidence and pathophysiology of medical complications (e.g., urinary tract infections, gastrointestinal dysfunction).

Main Results:

  • Bladder augmentation, while beneficial, presents significant risks including malignancy, bowel obstruction, and bladder perforation.
  • Medical complications such as recurrent urinary tract infections and gastrointestinal dysfunction are also common.
  • The review synthesizes data on the frequency and underlying mechanisms of these adverse events.

Conclusions:

  • Bladder augmentation is a major pediatric urological surgery with substantial potential complications.
  • Awareness and understanding of these risks are essential for optimizing outcomes.
  • This review provides a practical guide to the complications associated with pediatric bladder augmentation.

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