[Enterocystoplasty: the results with our first 21 patients]

The use of intestinal segments for bladder replacement or augmentation is an alternative in the management of urologic patients. Twenty-one patients (13 M, 8 F) underwent enterocystoplasty by different reason, neurogenic bladder (NB) (10 p), bladder exstrophy (7 p), cloaca exstrophy (3 p) and posterior urethral valves (PUV) (1 p) are presented. Mean age at operation was 12 years (range: 6-19) and the average followed was 3 years. Five patients undergone external urinary diversion. All patients had reflux and 3 chronic renal failure. Bowel segments employed were ileum (11 p), sigma (7 p) and ileocaecal (3 p). Average bladder capacity has been of 354 ml. (range: 200-510). The reflux disappeared in 14 patients and none of them had impaired renal function. In all patients has improved continence and 71% are dry.