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Related Experiment Videos

Ureteral bladder augmentation

B M Churchill1, H Aliabadi, E H Landau

  • 1Department of Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.

The Journal of Urology
|August 1, 1993
PubMed
Summary
This summary is machine-generated.

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Megaureters offer a novel solution for bladder augmentation, avoiding complications seen with intestinal segments. This urothelial tissue provides a safe and effective alternative for patients with dysfunctional bladders.

Area of Science:

  • Urology
  • Surgical Innovation
  • Pediatric Surgery

Background:

  • Enterocystoplasty, using gastrointestinal segments for bladder augmentation, is associated with well-documented complications.
  • These complications include electrolyte imbalances, acid-base disturbances, and mucus production.
  • A need exists for alternative augmentation materials that mitigate these risks.

Purpose of the Study:

  • To evaluate the efficacy and safety of using detubularized megaureters for augmentation cystoplasty.
  • To assess the impact on renal function and upper urinary tract appearance.
  • To determine continence rates and urodynamic outcomes in patients undergoing augmentation ureterocystoplasty.

Main Methods:

  • Augmentation cystoplasty was performed in 16 patients (mean age 8.8 years) using detubularized megaureters.

Related Experiment Videos

  • Procedures included ipsilateral total or partial nephrectomy in some cases.
  • Postoperative follow-up ranged from 8 to 38 months, including urodynamic evaluations.

    • Main Results:

    • All patients maintained or improved renal function and upper tract appearance.
    • 15 of 16 patients required intermittent catheterization; one voided spontaneously.
    • 10 patients achieved complete daytime and nighttime continence; 5 showed improved continence.

    Conclusions:

    • Augmentation ureterocystoplasty is a safe and effective procedure for bladder augmentation.
    • It utilizes urothelial tissue, avoiding complications associated with non-urothelial segments.
    • The technique offers good capacity, low-pressure bladders, and acceptable continence rates.