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Related Experiment Videos

Bladder augmentation--a long-term review.

A Dounis, J G Gow

    British Journal of Urology
    |August 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Augmentation cystoplasty using bowel segments like the colon or cecum is effective for bladder reconstruction. This study found excellent long-term results in 78% of patients, with no significant difference between bowel segments.

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    Area of Science:

    • Urology
    • Surgical Innovation
    • Reconstructive Surgery

    Background:

    • Bladder dysfunction significantly impacts quality of life.
    • Augmentation cystoplasty offers a solution for bladder capacity issues.
    • Various bowel segments are used for bladder reconstruction, each with potential benefits and drawbacks.

    Purpose of the Study:

    • To evaluate the long-term efficacy and outcomes of augmentation cystoplasty.
    • To compare the effectiveness of different bowel segments (ileum, colon, cecum) in bladder reconstruction.
    • To identify factors influencing the success of augmentation cystoplasty.

    Main Methods:

    • A retrospective study of 59 patients undergoing augmentation cystoplasty over 18 years.
    • Analysis of indications including tuberculous contracted bladder, interstitial cystitis, and bladder carcinoma.

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  • Assessment of outcomes based on the type of bowel segment used (ileum, colon, cecum).

    • Main Results:

    • Excellent results were achieved in 78% of surviving patients.
    • No significant difference in outcomes was observed between colon and cecum use.
    • Operative mortality was 5.1% (3 patients).

    Conclusions:

    • Augmentation cystoplasty is a viable option for bladder reconstruction with high success rates.
    • The choice of bowel segment (colon vs. cecum) does not appear to significantly impact long-term results.
    • Contraindications such as severe renal failure and psychiatric history should be considered.