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Continent ileocecal augmentation cystoplasty

M A Sutton1, J L Hinson, K G Nickell

  • 1Scott Department of Urology, Baylor College of Medicine, Houston, Texas, USA.

Spinal Cord
|May 20, 1998
PubMed
Summary
This summary is machine-generated.

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Continent ileocecal augmentation cystoplasty significantly enhances bladder capacity and continence for patients with physical limitations. This procedure offers an easier catheterization route via an abdominal stoma, improving quality of life.

Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • Patients with physical limitations often require urinary storage solutions that are low-pressure, high-capacity, and easily catheterized.
  • Continent catheterizable abdominal stomas can be challenging for individuals with specific physical limitations.

Observation:

  • A modified Indiana continent urinary reservoir using the ileocecal bowel segment was evaluated in 23 patients.
  • The procedure aimed to create a low-pressure, high-capacity augmented bladder with a continent, catheterizable stoma.
  • Patients were selected based on the need for easier catheterization than their native urethra due to physical limitations.

Findings:

  • Continent ileocecal augmentation cystoplasty successfully increased average bladder capacity by 276.8 ml.
  • Post-operative follow-up (average 26.9 months) showed excellent continence rates (95%) via urethra and stoma.

Related Experiment Videos

  • No significant metabolic complications were detected post-operatively.

    • Implications:

    • This technique offers a viable solution for patients needing enhanced urinary storage and accessible catheterization.
    • The procedure is technically straightforward and associated with a low complication rate.
    • Improved bladder capacity, continence, and independent stoma access significantly enhance patient quality of life.