[Substitution and augmentation enterocystoplasty: long-term follow up]

From 1957 to 1981, nine patients (7 males and 2 females) were submitted to enterocystoplasty or bladder augmentation procedure. Patient age ranged from 19-67 years (mean = 40 yrs). Patient follow-up ranged from 9 to 31 years (mean = 19 yrs). The terminal ileum was utilized in 6 and the sigmoid in 3. Five patients had tuberculous conditions, 2 had transitional cell bladder tumor, 1 had interstitial cystitis, and 1 patient had bladder fibrosis. The ureters were directly reinserted in 2 cases. Two patients required TUR of the bladder neck; 1 patient had nocturnal incontinence. Two presented severe and 1 moderate chronic renal failure. In our view, augmentation and substitution plasty utilizing a segment of the intestine achieve good results. However, patients must be followed closely. Two patients who had been lost to follow-up presented with chronic renal failure. These patients might have benefitted from TUR of the bladder neck to correct voiding problems and avoid deterioration of the upper urinary tract.