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[Enterocystoplasties: results in 22 children]
C Miguélez Lago1, M García Mérida, E Galiano Duro
1Sección de Urología, Hospital Materno-Infantil de Málaga.
Summary
Paediatric enterocystoplasty effectively manages neurogenic and other bladder conditions in children, improving renal function and upper urinary tract health. Long-term monitoring is crucial due to potential complications.
Area of Science:
- Urology
- Pediatric Surgery
Context:
- Enterocystoplasty is a surgical procedure to augment bladder capacity using intestinal segments.
- This study evaluates the outcomes of enterocystoplasty in pediatric patients with various lower urinary tract conditions.
Purpose:
- To assess the efficacy and safety of pediatric enterocystoplasty in improving bladder function and protecting the upper urinary tract.
- To analyze the types of intestinal segments used and their impact on outcomes.
Summary:
- The study reviewed 22 children (ages 1-14) who underwent enterocystoplasty for conditions including neurogenic bladder (73%).
- Ileum and sigmoid segments were used, with a preference for sigmoid due to larger size.
- Postoperatively, significant improvements were observed in bladder capacity (+278%), reduced bladder pressure (-82%), and preserved renal function (86%) and upper urinary tract (95%).
- Complications occurred in 23% of patients, necessitating reintervention in 18%.
Impact:
- Paediatric enterocystoplasty serves as a viable alternative to urinary diversion, effectively preventing upper urinary tract deterioration.
- Regular, lifelong follow-up is essential to manage potential long-term complications associated with the procedure.