Related Experiment Videos
[Bladder augmentation in three patients with contracted bladder caused by neurogenic bladder]
T Suemori1, S Takahashi, O Natsume
1Department of Urology, Hoshigaoka Koseinenkin Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|January 1, 1990
Summary
Ileocystoplasty surgery successfully increased bladder capacity and improved compliance in patients with neurogenic bladder due to meningomyelocele. Combined with clean intermittent self-catheterization, this treatment effectively manages urinary incontinence.
Area of Science:
- Urology
- Pediatric Surgery
- Neuroscience
Background:
- Neurogenic bladder, often resulting from meningomyelocele, can lead to contracted bladder.
- Contracted bladder significantly impairs bladder capacity and compliance, causing urinary incontinence.
Observation:
- Three patients diagnosed with meningomyelocele and subsequent contracted neurogenic bladder were treated with ileocystoplasty using Goodwin's Cup-patch method.
- The study focused on the efficacy of ileocystoplasty in conjunction with clean intermittent self-catheterization (CISC).
Findings:
- All patients demonstrated increased bladder capacity and improved bladder compliance post-ileocystoplasty.
- Patients achieved complete resolution of urinary incontinence following the surgical intervention and CISC.
- The combined approach of ileocystoplasty and CISC proved effective in managing contracted neurogenic bladder.
Implications:
- Ileocystoplasty combined with CISC represents a successful therapeutic strategy for managing contracted bladder in neurogenic bladder patients.
- This surgical approach offers a viable solution for improving quality of life by resolving urinary incontinence.
- Further research can explore long-term outcomes and refine surgical techniques for neurogenic bladder reconstruction.