The fate of loop ureterostomy and severe contracted bladder
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European Urology
|January 1, 1985
Insights
Bladder contracture after cutaneous loop ureterostomy can be severe. This case successfully treated a boy with extreme bladder contracture using long-term hydraulic dilatation before colonic augmentation, increasing bladder capacity.
Area of Science:
- Pediatric Urology
- Surgical Complications
- Reconstructive Urology
Background:
- Cutaneous loop ureterostomy can lead to bladder contracture, a serious complication.
- Bladder contracture can significantly impair bladder function and quality of life.
- Management of severe bladder contracture remains challenging.
Observation:
- A pediatric patient presented with severe bladder contracture following cutaneous loop ureterostomy.
- The contracture was noted to be exceptionally severe, potentially the worst reported.
- Standard treatments were considered insufficient for this extreme case.
Findings:
- Successful treatment was achieved through a staged approach.
- Long-term hydraulic dilatation was employed to increase bladder capacity.
- Colonic augmentation was subsequently performed to further enhance bladder function.
Implications:
- This case highlights a successful strategy for managing extreme bladder contracture.
- Long-term hydraulic dilatation may be a viable option for pre-surgical bladder augmentation.
- Further research is warranted to explore the efficacy of this approach in similar cases.
Abstract:
Bladder contracture following cutaneous loop ureterostomy is a known but sometimes neglected serious complication. Recently we treated a boy successfully by effecting an increase in bladder capacity by long-term hydraulic dilatation prior to performing colonic augmentation. The severity of the contracture seems to be the worst ever published in the literature.