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Experience with augmentation cystoplasty. A review

P Mast1, P Hoebeke, J J Wyndaele

  • 1Department of Urology, University Hospital, Ghent, Belgium.

Paraplegia
|October 1, 1995
PubMed
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Clam cystoplasty effectively treats neuropathic bladder dysfunction when conservative methods fail, improving continence and bladder capacity. However, high complication rates necessitate careful patient selection and lifelong monitoring.

Area of Science:

  • Urology
  • Surgical Innovation
  • Bladder Reconstruction

Background:

  • Neuropathic bladder dysfunction significantly impacts quality of life.
  • Conservative treatments often fail for severe bladder dysfunction.
  • Surgical reconstruction may be necessary for refractory cases.

Purpose of the Study:

  • To evaluate the efficacy and safety of clam enterocystoplasty in patients with refractory bladder dysfunction.
  • To assess outcomes related to continence, bladder capacity, and compliance.
  • To identify common complications and their management.

Main Methods:

  • Retrospective analysis of 28 patients undergoing clam enterocystoplasty.
  • Assessment of pre- and post-operative urinary continence, bladder capacity, and compliance.

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  • Documentation of complications, including voiding dysfunction, infections, and stone formation.

    • Main Results:

    • Clam cystoplasty demonstrated efficacy in improving continence (89% neuropathic bladder patients).
    • Significant increases in bladder compliance and capacity were observed.
    • High complication rates included inability to void (70%), recurrent UTIs (59%), and stone formation (22%).
    • 44% of patients required further surgical intervention due to complications.

    Conclusions:

    • Clam enterocystoplasty is an effective treatment for functionally disturbed urinary tracts.
    • Careful patient selection is crucial due to frequent and significant complications.
    • Lifelong follow-up is mandatory to manage potential long-term complications.