Does augmentation cystoplasty with continent reconstruction at a young age increase the risk of complications or secondary surgeries?

Journal of Pediatric Urology
Laura S MerrimanEdwin A Smith

Abstract

Lower urinary tract reconstruction with augmentation cystoplasty (AC) is an effective strategy for achieving urinary continence in children with neurogenic or severely compromised bladder. We compared complications and need for secondary surgeries in children 3-5 years of age undergoing AC with continent reconstruction to those ≥ 6 years old. Medical charts of children undergoing AC with continent urinary diversion between 2003 and 2011 were reviewed. Complications and secondary surgeries were analyzed according to patient age. Patient demographics, etiology of bladder dysfunction, bowel segment used, and concomitant procedures were also assessed. One hundred and eight children underwent AC with continent urinary diversion. Mean age at augmentation was 8.5 years (range 3-20). Twenty-eight children (25.9%) were 3-5 years old and 80 (74.1%) were ≥ 6 years. Mean follow-up was 6.93 years (range 1.6-10 years). Bowel segment used included ileum in 59 (54.6%), sigmoid in 33 (30.6%), cecum in 4 (3.7%) and composite in 12 (11.1%). Major complications included bowel obstruction in 6 (5.6%), bladder perforation in 3 (2.8%) and fistula in 2 (1.9%). There was no difference in major complications based on bowel segment utilized (p = 0.804, O...Continue Reading

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Citations

May 26, 2017·Biomedicines·Yvonne Y ChanStephanie L Osborn
Nov 24, 2019·Scandinavian Journal of Urology·Anne Sofie Virring BrandtHans Jørgen Kirkeby
Oct 22, 2020·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Apul Goel
Jan 27, 2020·European Urology Focus·Ashley W JohnstonJ Todd Purves
Dec 5, 2019·Journal of Pediatric Urology·Matthieu PeycelonRosalie Misseri

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