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Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
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Preperitoneal Bladder Augmentation: Feasibility and Results.

Dhruva Nath Ghosh1, Sampath Karl2, Sudipta Sen3

  • 1Department of Pediatric Surgery, Christian Medical College, Ludhiana, Punjab, India.

Journal of Indian Association of Pediatric Surgeons
|October 5, 2017
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Summary
This summary is machine-generated.

Preperitoneal bladder augmentation offers a safe and effective method for creating a low-pressure urine reservoir in children. This technique successfully improved bladder capacity and continence, with no intraperitoneal leaks observed.

Keywords:
Bladder augmentationbladder perforationpreperitoneal

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Area of Science:

  • Pediatric Urology
  • Reconstructive Surgery
  • Bladder Augmentation

Background:

  • Bladder augmentation is a key procedure in pediatric reconstructive urology.
  • Assessing the feasibility and outcomes of preperitoneal bladder augmentation is crucial.

Purpose of the Study:

  • To evaluate the safety and efficacy of the preperitoneal bladder augmentation technique.
  • To determine the functional outcomes and complication rates of this surgical approach.

Main Methods:

  • Thirty-three children with small, inelastic bladders underwent preperitoneal augmentation.
  • The procedure involved placing bowel augmentation in the preperitoneal space after bivalving the native bladder.
  • A Mitrofanoff port was incorporated when necessary.

Main Results:

  • Preperitoneal augmentation yielded compliant, adequate-volume bladders, resolving hydronephrosis and incontinence.
  • Vesicoureteral reflux resolved in most cases (24/26 units).
  • A significant decrease in serum creatinine was observed in uremic children, and no intraperitoneal leaks occurred.

Conclusions:

  • Preperitoneal bladder augmentation is an adequate, safe, and low-pressure reservoir technique.
  • The method is effective except in cases of bladder exstrophy or prior abdominal surgery.
  • The absence of intraperitoneal leaks is a significant advantage over traditional methods.