A therapeutic method for failed bladder augmentation in children: re-augmentation

BJU International
P VajdaA B Pinter

Abstract

To investigate the causes leading to the deterioration of previously successful bladder augmentation and to evaluate the efficacy of re-augmentation. Between 1988 and 2004, 136 bladder augmentations were performed in two paediatric urological units in Hungary and Turkey. Re-augmentation was necessary in two patients after colocystoplasty and in three after gastrocystoplasty. A secondary augmentation was not required in any patients after ileocystoplasty. The clinical data of these five patients were evaluated. On the basis of the clinical signs and urodynamic studies, re-augmentation was performed 2-7 years after the initial augmentation cystoplasties. Anticholinergic therapy given before re-augmentation did not improve bladder capacity, intravesical pressure and/or bladder compliance. An ileal or sigmoid segment was used for the secondary augmentation. After re-augmentation, all five patients became continent, and showed marked improvement in their urodynamic parameters at a mean (range) follow-up of 6.8 (2-10) years. A decreased bladder capacity and/or compliance and increased bladder pressure after successful augmentation cystoplasty might be the result of: (i) impairment of the blood supply to the large bowel or gastric seg...Continue Reading

References

Feb 25, 1998·The Journal of Urology·B P DuelJ S Barthold
May 24, 2001·The Journal of Urology·P F AustinR C Rink

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Citations

Feb 24, 2016·Current Urology Reports·Evan ShreckAlvaro Lucioni
Oct 22, 2008·The Journal of Urology·Charles D Scales, John S Wiener
Mar 17, 2015·Seminars in Pediatric Surgery·Sarah M Lambert

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