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Enterocystoplasty: the star modification

M A Keating1, J K Ludlow, M A Rich

  • 1J. W. Riley Hospital for Children, Indianapolis, Indiana, USA.

The Journal of Urology
|May 1, 1996
PubMed
Summary
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This study introduces a novel star reconfiguration technique for neuropathic bladders undergoing enterocystoplasty. This method effectively modifies the bladder, showing no complications in 27 patients after 2.5 years.

Area of Science:

  • Urology
  • Surgical Techniques
  • Reconstructive Surgery

Background:

  • Neuropathic bladder dysfunction often necessitates augmentation cystoplasty.
  • Existing techniques may not fully address bladder noncompliance or hyperreflexia.
  • Enterocystoplasty is a common surgical approach for bladder augmentation.

Purpose of the Study:

  • To describe a modified sagittal cystoplasty technique, termed star reconfiguration.
  • To achieve maximal reconfiguration of the native neuropathic bladder for enterocystoplasty.
  • To enhance the surgical outcome of bladder augmentation procedures.

Main Methods:

  • The star reconfiguration technique involves lateral cystotomies combined with anteroposterior cystotomy.
  • This modification is analogous to the established sagittal clamshell technique.

Related Experiment Videos

  • The procedure was performed on 27 patients requiring enterocystoplasty with various bowel segments.

    • Main Results:

    • No complications directly attributable to the cystoplasty were observed in the 27 patients.
    • The mean follow-up period was 2.5 years.
    • The technique demonstrated successful application in a diverse patient cohort.

    Conclusions:

    • Star reconfiguration effectively defunctionalizes noncompliant or hyperreflexic tendencies of the neuropathic bladder prior to augmentation.
    • This modification offers a technical advantage by increasing the anastomotic edge length for bowel-to-bladder connection.
    • The technique shows promise for improving outcomes in bladder augmentation surgery.