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[Bladder calculus after augmentation ileocystoplasty in children]
H Shinojima1, H Kakizaki, K Nonomura
1Department of Urology, Hokkaido University School of Medicine.
Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|September 1, 1994
Summary
Bladder calculi (stones) can form after augmentation ileocystoplasty in children with neurogenic bladder. Postoperative persistent bacteriuria and urinary continence procedures may increase this risk.
Area of Science:
- Pediatric Urology
- Surgical Complications
- Biomaterials Science
Context:
- Augmentation ileocystoplasty is a surgical procedure used to treat neurogenic bladder in children.
- Bladder calculi formation is a known complication following urinary tract surgeries.
Purpose:
- To investigate the incidence and potential risk factors for bladder calculi development after augmentation ileocystoplasty in pediatric patients.
- To identify specific factors contributing to calculus formation in this patient cohort.
Summary:
- Three out of twelve children who underwent augmentation ileocystoplasty for neurogenic bladder developed bladder calculi within 9-19 months post-surgery.
- All affected children had concurrent procedures for urinary continence and persistent postoperative bacteriuria.
- Calculi composition included magnesium-ammonium phosphate and calcium phosphate; all were successfully treated with endoscopic lithotripsy.
Impact:
- Findings suggest that persistent bacteriuria and concomitant continence procedures are potential risk factors for bladder calculus formation after augmentation cystoplasty.
- Highlights the need for vigilant monitoring and potential preventative strategies in pediatric patients undergoing these complex urological reconstructions.