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Ten years' experience with enterocystoplasty

P Bunyaratavej1, S La-ornual, A Kongkanand

  • 1Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|June 1, 1993
PubMed
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Enterocystoplasty, a bladder augmentation or substitution surgery, showed mixed voiding results and significant complication rates. Careful consideration is needed due to potential reoperations and serious adverse events.

Area of Science:

  • Urology
  • Surgical Oncology
  • Gastroenterology

Background:

  • Bladder dysfunction due to various conditions necessitates surgical intervention.
  • Enterocystoplasty is a technique used for bladder augmentation and substitution.

Purpose of the Study:

  • To evaluate the outcomes and complications of augmentation and substitution cystoplasties.
  • To assess the long-term results and reoperation rates associated with enterocystoplasty.

Main Methods:

  • Retrospective review of 36 patients undergoing augmentation (18) or substitution (18) cystoplasty over 10 years.
  • Analysis of voiding function, complications, and reoperation rates.

Main Results:

  • Satisfactory voiding achieved in 11 augmentation and 14 substitution cases; others required self-catheterization.

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  • Early complications included mucus plugs, perforation, fistula, and one perioperative death.
  • Late complications included obstruction, reflux, stones, infections, renal deterioration, and deaths; reoperation rate was 30.43%.

    • Conclusions:

    • Enterocystoplasty can improve bladder capacity and function but is associated with significant morbidity.
    • The procedure requires careful patient selection and management due to a notable rate of complications and reoperations.