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Updated: Jun 26, 2026

Vessel-sparing Excision and Primary Anastomosis

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

[Enterocystoplasty for interstitial cystitis. Deferred results].

G Astroza Eulufi¹, P A Velasco, A Walton

¹Departamento de Urología, Hospital Clínico Pontificia Universidad Católica de Chile. gaeulufi@hotmail.com

Actas Urologicas Espanolas

|January 16, 2009

Summary

Supratrigonal cystectomy with bladder enlargement enterocystoplasty significantly improved bladder capacity and reduced urinary frequency in patients with interstitial cystitis refractory to conservative treatment. Most patients reported satisfaction with reduced symptoms.

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Last Updated: Jun 26, 2026

Vessel-sparing Excision and Primary Anastomosis

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Area of Science:

Urology
Surgical Oncology

Context:

Interstitial cystitis (IC) presents with bladder pain and urinary urgency.
A significant portion of IC patients (up to 10%) do not respond to conservative therapies.
Surgical options like supratrigonal cystectomy and enterocystoplasty are considered for refractory cases.

Purpose:

To assess the outcomes of supratrigonal cystectomy and bladder enlargement enterocystoplasty in patients with refractory interstitial cystitis.
To evaluate the efficacy of this surgical technique in improving bladder function and patient-reported symptoms.

Summary:

This study reviewed 15 patients who underwent supratrigonal cystectomy and enterocystoplasty for refractory interstitial cystitis.
Preoperative mean bladder capacity was 125 cc, with a mictional rhythm of 30.5 times/day.
Postoperatively, mean bladder volume increased to 355 cc, and frequency decreased to 8.26 times/day, with statistically significant improvements (p<0.001).
13 patients reported satisfaction with reduced mictional frequency, and 11 with decreased suprapubic pain.

Impact:

Supratrigonal cystectomy and enterocystoplasty offer a viable surgical solution for select interstitial cystitis patients unresponsive to conservative management.
The procedure demonstrates significant functional improvements in bladder capacity and voiding frequency.
Patient satisfaction rates indicate a positive impact on quality of life for those suffering from severe interstitial cystitis symptoms.