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[A case of replacement ileocystoplasty for contracted bladder]
S Kawamura1, K Kumasaka, K Noro
1Department of Urology, School of Medicine, Iwate Medical University.
Hinyokika Kiyo. Acta Urologica Japonica
|September 1, 1991
Summary
This study presents a case of ileocystoplasty for a contracted bladder following hematuria and pollakisuria. The surgical reconstruction successfully restored bladder capacity and urinary function without incontinence.
Area of Science:
- Urology
- Surgical Reconstruction
Background:
- A 49-year-old male presented with recurrent hematuria and pollakisuria, leading to bladder tamponade and bilateral hydronephrosis.
- The patient had a previously asymptomatic history of hematuria three years prior.
Observation:
- Extensive examinations failed to identify the cause of the contracted bladder.
- Bilateral percutaneous nephrostomies were performed due to the severe bladder condition.
Findings:
- A replacement ileocystoplasty using Shishido's method was performed, involving a detubularized ileal pouch and anastomosis to the bladder neck after subtotal cystectomy.
- Ureteroileal anastomosis was achieved using Coffey's method.
- One year post-surgery, bladder capacity was 350 ml with a maximum urinary flow rate of 13 ml/sec, and no residual urine or urinary incontinence was observed.
Implications:
- Ileocystoplasty is an effective surgical option for reconstructing a contracted bladder, restoring normal urinary function.
- This case highlights successful management of severe bladder dysfunction and associated renal compromise.