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Experiences with bladder reconstruction in children.

L R King1, G D Webster, R A Bertram

  • 1Division of Urologic Surgery, Duke University Medical Center, Durham, North Carolina.

The Journal of Urology
|October 1, 1987
PubMed
Summary
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This study on bladder reconstruction in children found that opened ileal segments are effective for neurogenic bladder. Overall, 53 of 56 patients achieved continence, improving outcomes for reconstructive urology.

Area of Science:

  • Pediatric Urology
  • Surgical Reconstruction
  • Continence Management

Background:

  • Enterocystoplasty is a surgical procedure for bladder augmentation.
  • Neurogenic bladder dysfunction affects bladder control in children.
  • Various intestinal segments have been used for bladder reconstruction.

Purpose of the Study:

  • To present the results of enterocystoplasty in children.
  • To recommend optimal intestinal segments for different etiologies of bladder dysfunction.
  • To evaluate the success rates and complications of bladder reconstruction.

Main Methods:

  • Retrospective analysis of 56 children undergoing enterocystoplasty (1981-1985).
  • Use of ileal, ileocecal, right colon, and sigmoid segments in tubular and opened configurations.

Related Experiment Videos

  • Evaluation of continence, need for secondary procedures, and ureteral reimplantation success.

    • Main Results:

    • Continence achieved in 53 of 56 patients.
    • Opened ileal segments recommended for neurogenic bladder and weak anal sphincters.
    • Opened ileocecal or right colon segments recommended for other etiologies.
    • Successful ureteral reimplantation with normal or mildly dilated ureters.
    • Modified techniques resolved initial reflux failures in ureterectasis.

    Conclusions:

    • Enterocystoplasty, particularly with opened ileal segments, offers favorable outcomes for bladder reconstruction in children.
    • Specific intestinal segments can be tailored to patient etiology for improved success.
    • Further refinement of techniques can enhance continence and manage complications effectively.