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Sigmoidocystoplasty to augment bladder capacity.

J P Weiss, A J Wein, P M Hanno

Surgery, Gynecology & Obstetrics

|October 1, 1984

Summary

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Sigmoidocystoplasty effectively treated severe bladder contracture in 14 patients. Most patients experienced excellent or improved bladder function, demonstrating the procedure

Area of Science:

Urology
Surgical Techniques
Reconstructive Surgery

Background:

Severe bladder contracture significantly impacts quality of life.
Refractory cases often require complex surgical intervention.
Previous augmentation cystoplasty methods have limitations.

Purpose of the Study:

To evaluate the efficacy of sigmoidocystoplasty with subtotal cystectomy.
To assess outcomes in patients with severe bladder contracture.
To compare sigmoidocystoplasty with other augmentation techniques.

Main Methods:

Sigmoidocystoplasty and subtotal cystectomy performed on 14 patients.
Patients had severe, symptomatic bladder contracture refractory to other treatments.
Surgical technique and outcomes were meticulously documented.

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Main Results:

Eight patients achieved excellent results with improved bladder function.
Four patients showed improvement following the procedure.
Two patients did not improve and required supravesical diversion.

Conclusions:

Sigmoidocystoplasty is a viable option for severe bladder contracture.
The procedure offers potential advantages over ileal and ileocecal cystoplasty.
Careful patient selection and surgical technique are crucial for optimal outcomes.