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Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
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Pediatric bladder augmentation - Panacea or Pandora's box?

James P J Ross1, Melise Keays1, Christopher Neville1

  • 1Children's Hospital of Eastern Ontario (CHEO), Department of Surgery, Division of Urology, University of Ottawa, ON, Canada.

Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada
|January 25, 2020
PubMed
Summary

Pediatric bladder augmentation is a safe surgical option, though complications like UTIs and stomal stenosis can occur. Routine postoperative cystograms may not be necessary due to low extravasation rates.

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Area of Science:

  • Urology
  • Pediatric Surgery
  • Surgical Outcomes

Background:

  • Bladder augmentation surgery increases bladder capacity and compliance.
  • This study reviews pediatric bladder augmentation outcomes at a Canadian center.

Purpose of the Study:

  • To provide a longitudinal review of pediatric bladder augmentation.
  • To assess short- and long-term complications.
  • To evaluate the utility of routine postoperative cystograms.

Main Methods:

  • Retrospective review of 56 bladder augmentation procedures (1986-2014).
  • Analysis of patient demographics, surgical techniques, and complications.
  • Evaluation of postoperative cystogram findings.

Main Results:

  • Overall complication rate was 15%, with UTIs and stomal stenosis being most common.
  • 35.2% of patients required reoperation; bladder perforation occurred in 3.6%.
  • Postoperative extravasation on cystogram was uncommon (7.5%).

Conclusions:

  • Bladder augmentation is a safe surgical treatment for pediatric patients.
  • Routine postoperative cystograms may not be indicated.
  • A significant decline in augmentation procedures was observed in recent years.