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Tandem ureterocystoplasty

S Ahmed1, K F Neel, S Sen

  • 1Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.

The Australian and New Zealand Journal of Surgery
|May 1, 1998
PubMed
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Augmentation ureterocystoplasty using mega-ureters is a successful alternative to gastrointestinal segments for bladder augmentation. Utilizing both ureters in tandem maximizes bladder capacity, especially for complex cases like neurogenic bladder and bladder exstrophy.

Area of Science:

  • Urology
  • Pediatric Surgery
  • Reconstructive Surgery

Background:

  • Gastrointestinal segments for bladder augmentation present numerous complications.
  • Mega-ureters offer a viable alternative for bladder augmentation.
  • Bilateral mega-ureters can be utilized together for enhanced augmentation.

Purpose of the Study:

  • To evaluate the efficacy of augmentation ureterocystoplasty using mega-ureters.
  • To assess the use of tandem ureters for bladder augmentation.
  • To determine the suitability of mega-ureters in complex bladder conditions.

Main Methods:

  • Seventeen patients underwent augmentation ureterocystoplasty.
  • Three patients received tandem augmentation using both distal ureters.

Related Experiment Videos

  • Included patients with neurogenic bladder and bladder exstrophy.

    • Main Results:

    • Tandem ureterocystoplasty achieved satisfactory augmentation in all cases.
    • Patients with neurogenic bladder and bladder exstrophy achieved continence.
    • Management involved clean intermittent catheterization (CIC) and appendicovesicostomy (Mitrofanoff).

    Conclusions:

    • Mega-ureters are an excellent source for bladder augmentation material.
    • Tandem use of bilateral mega-ureters maximizes bladder capacity.
    • This technique is particularly beneficial for small, non-compliant bladders.