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Related Experiment Videos

Augmentation enterocystoplasty: a critical review

R B Smith, P van Cangh, D G Skinner

    The Journal of Urology
    |July 1, 1977
    PubMed
    Summary
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    Augmentation cystoplasty is a successful long-term treatment for small contracted bladders. Careful patient selection and improved urodynamic techniques can reduce the overall failure rate for this well-tolerated procedure.

    Area of Science:

    • Urology
    • Surgical Innovation

    Background:

    • Small contracted bladders significantly impair quality of life.
    • Augmentation cystoplasty is a surgical option for bladder enlargement.

    Purpose of the Study:

    • To evaluate the long-term efficacy and safety of augmentation cystoplasty.
    • To identify patient selection criteria and contraindications for the procedure.

    Main Methods:

    • Review of augmentation cystoplasty outcomes in patients with various etiologies of small contracted bladders.
    • Analysis of contraindications including azotemia, malignancy, and specific neurogenic conditions.
    • Emphasis on refined urodynamic diagnostic techniques.

    Main Results:

    • Augmentation cystoplasty demonstrates successful long-term outcomes for most patients.

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  • The procedure is generally well-tolerated when proper indications are met.
  • An overall failure rate of 35% was observed, with potential for decrease using advanced diagnostics.

    • Conclusions:

    • Augmentation cystoplasty is a viable long-term solution for small contracted bladders across etiologies.
    • Adherence to specific contraindications (azotemia, malignancy, certain neurogenic bladders) is crucial for success.
    • Refined urodynamic diagnostics are expected to improve patient outcomes and reduce failure rates.