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Related Experiment Videos

Bowel motility after enterocystoplasty

G A Wood1, P S Heathcote, D L Nicol

  • 1Department of Urology, Princess Alexandra Hospital, Brisbane, Australia.

British Journal of Urology
|May 23, 1998
PubMed
Summary
This summary is machine-generated.

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Bladder augmentation using bowel segments does not cause diarrhea. Decompressing these augmented bladders did not significantly alter bowel motility or frequency in patients experiencing post-operative diarrhea.

Area of Science:

  • Urology
  • Gastroenterology
  • Surgical Research

Background:

  • Enterocystoplasty, a bladder augmentation technique using intestinal segments, can lead to gastrointestinal side effects like diarrhea.
  • The mechanism by which augmented bladders influence bowel function, specifically peristalsis and frequency, remains unclear.

Purpose of the Study:

  • To investigate if distension of bowel-augmented bladders during filling and urine storage stimulates gastrointestinal peristalsis.
  • To determine if this stimulation results in diarrhea and increased bowel frequency in patients post-enterocystoplasty.

Main Methods:

  • Study included five patients with symptomatic diarrhea after enterocystoplasty (ileum or colon augmentation).
  • Bowel function was assessed using frequency charts and colonic transit-time studies over 6 days with self-catheterization.

Related Experiment Videos

  • Assessments were repeated with the augmented bladder decompressed via an indwelling catheter.

    • Main Results:

    • One patient showed minor improvements in colonic transit time and stool consistency after bladder decompression.
    • Another patient reported increased liquid stools but a minor decrease in transit time.
    • The remaining three patients and overall analysis showed no significant changes in colonic transit time, bowel frequency, or diarrhea with bladder decompression.

    Conclusions:

    • Eliminating bladder distension in reconstructed bladders does not impact bowel motility.
    • Distension of the incorporated bowel segment in augmented bladders is not a primary cause of altered bowel function or diarrhea.