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Related Experiment Videos

Augmentation duracystoplasty in neurogenic bladder dysfunction

N Arikan1, E Ozdiler, O Yaman

  • 1University of Ankara, School of Medicine, Department of Urology, Turkey.

International Journal of Urology : Official Journal of the Japanese Urological Association
|July 1, 1995
PubMed
Summary

Augmentation duracystoplasty offers a promising alternative for neurogenic bladder dysfunction. This study found it effective in improving bladder capacity and continence, with minimal complications.

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Area of Science:

  • Urology
  • Regenerative Medicine
  • Biomaterials

Background:

  • Augmentation cystoplasty is a standard treatment for neurogenic bladder dysfunction.
  • Intestinal segments are commonly used but carry risks.
  • Exploring alternative materials like duraplasty is crucial.

Purpose of the Study:

  • To evaluate augmentation duracystoplasty as an alternative to enterocystoplasty.
  • To assess the efficacy and safety of duraplasty for bladder augmentation.

Main Methods:

  • Ten patients with refractory neurogenic bladder underwent augmentation duracystoplasty.
  • The modified Bramble-Clam technique was employed.
  • Follow-up averaged 28 months.

Main Results:

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  • Seven out of ten patients achieved complete continence with clean intermittent catheterization.
  • Three patients required lower doses of oral oxybutynin post-surgery for continence.
  • No significant pre- or postoperative complications were observed.

Conclusions:

  • Augmentation duracystoplasty shows potential as a viable treatment option.
  • It is a promising alternative for hyperreflexic and/or low-compliant neurogenic bladders.