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[Augmentation enterocystoplasty. 35 cases]

A Benchekroun1, A Lachkar, A Hadab

  • 1Clinique Urologique A, CHU Ibn Sina, Rabat, Maroc.

Annales D'Urologie
|November 25, 1998
PubMed
Summary
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Augmentation enterocystoplasty effectively treated small or neurogenic bladders in 35 patients over 16 years. While complications occurred, the procedure offered a solution for various bladder conditions.

Area of Science:

  • Urology
  • Surgical Innovation
  • Reconstructive Surgery

Context:

  • Augmentation enterocystoplasty is a surgical procedure to enlarge a small or dysfunctional bladder.
  • This study reviews a 16-year experience with 35 patients undergoing this procedure.
  • Common causes for bladder augmentation included urogenital tuberculosis, vesicovaginal fistula, and interstitial cystitis.

Purpose:

  • To evaluate the outcomes and complications of augmentation enterocystoplasty in patients with small or neurogenic bladders.
  • To assess the efficacy of using different intestinal segments (ileum, sigmoid colon, caecum-ileum) for bladder augmentation.
  • To analyze associated surgical procedures and their impact on patient results.

Summary:

  • Thirty-five patients (20 male, 15 female, mean age 45) underwent augmentation enterocystoplasty using ileum, sigmoid colon, or caecum-ileum.

Related Experiment Videos

  • Procedures were combined with cystectomy, antireflux valves, or ureteric reimplantation.
  • Complications included urinary fistula (3), mucus-related retention (1), metabolic acidosis (3), ureterohydronephrosis (2), and bladder stones (2).

    • Impact:

    • Augmentation enterocystoplasty can successfully manage small and neurogenic bladders, despite potential complications.
    • The study highlights the need for careful patient selection and management of post-operative issues.
    • This experience provides valuable insights for urologists performing bladder augmentation procedures.