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Laparoscopic bladder augmentation using stomach

S G Docimo1, R G Moore, J Adams

  • 1Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287-2101, USA.

Urology
|October 1, 1995
PubMed
Summary
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Laparoscopic gastric bladder augmentation offers a feasible solution for patients with poorly compliant bladders. This minimally invasive technique successfully created a high-volume urinary reservoir in a young female patient with sacral agenesis.

Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Sacral agenesis can lead to neurogenic bladder dysfunction, characterized by poor compliance and low volume capacity.
  • Traditional open bladder augmentation carries significant morbidity.
  • Minimally invasive approaches are increasingly sought for complex urological reconstructions.

Observation:

  • A 17-year-old female with sacral agenesis and a poorly compliant bladder underwent laparoscopic bladder augmentation.
  • A gastric wedge, based on the right gastroepiploic pedicle, was harvested using a stapled technique.
  • The gastric segment was anastomosed to the bladder, and a needle suspension was performed.

Findings:

  • The laparoscopic approach was technically feasible for bladder augmentation.

Related Experiment Videos

  • Postoperatively, the patient achieved urinary continence and was able to self-catheterize every 4 hours.
  • The gastric segment provided a compliant, high-volume urinary reservoir.

    • Implications:

    • Laparoscopic bladder augmentation represents a viable and potentially preferred alternative to open surgery for selected patients.
    • This technique may improve quality of life by enabling continence and self-catheterization.
    • Further research can explore long-term outcomes and expand indications for laparoscopic gastric augmentation.