Bladder augmentation and urinary diversion for neurogenic LUTS: current indications.

Area of Science:

• Urology
• Surgical Management
• Neurogenic Bladder

Background:

• Augmentation cystoplasty and urinary diversion are established surgical interventions.
• These procedures are increasingly reserved for complex neurogenic bladder cases.

Purpose of the Study:

• To review the current role of augmentation cystoplasty and urinary diversion in managing neurogenic bladder.
• To discuss indications, techniques, and outcomes for these surgical options.

Main Methods:

• Review of existing literature on augmentation cystoplasty and urinary diversion for neurogenic bladder.
• Analysis of patient selection criteria and surgical approaches.

Main Results:

• Augmentation cystoplasty and urinary diversion remain important for refractory lower urinary tract symptoms (LUTS) unresponsive to neuromodulation or onabotulinum toxin.
• Continent cutaneous catherizable channels and supravesical urinary diversion are key techniques.
• Excision of the diverted bladder is recommended to prevent pyocystis.

Conclusions:

• Augmentation cystoplasty and urinary diversion are valuable, albeit specialized, surgical treatments for neurogenic bladder.
• Careful patient selection and surgical technique are crucial for successful outcomes.