Long-term complications following bladder augmentations in patients with spina bifida: bladder calculi, perforation of the augmented bladder and upper tract deterioration

Translational Andrology and Urology
Douglas A Husmann

Abstract

We desire to review our experience with bladder augmentation in spina bifida patients followed in a transitional and adult urologic practice. This paper will specifically focus on three major complications: bladder calculi, the most frequent complication found following bladder augmentation, perforation of the augmentation, its most lethal complication and finally we will address loss of renal function as a direct result of our surgical reconstructive procedures. We reviewed a prospective data base maintained on patients with spina bifida followed in our transitional and adult urology clinic from 1986 to date. Specific attention was given to patients who had developed bladder calculi, sustained a spontaneous perforation of the augmented bladder or had developed new onset of renal scarring or renal insufficiency (≥ stage 3 renal failure) during prolonged follow-up. The development of renal stones (P<0.05) and symptomatic urinary tract infections (P<0.0001) were found to be significantly reduced by the use of high volume (≥240 mL) daily bladder wash outs. Individuals who still developed bladder calculi recalcitrant to high volume wash outs were not benefited by the correction of underlying metabolic abnormalities or mucolytic age...Continue Reading

Citations

Sep 13, 2019·World Journal of Urology·Philip J Cheng, Jeremy B Myers
Jul 26, 2019·Current Urology Reports·Jeffrey BudzynHumphrey Atiemo
Feb 18, 2020·World Journal of Urology·Nicholas Faure WalkerDan Wood
Apr 4, 2017·International Journal of Nephrology·Shahbaz MehmoodWaleed Mohammad Altaweel
Jun 13, 2020·World Journal of Urology·Oluwarotimi S NetteyStephanie J Kielb
Dec 1, 2020·Journal of Pediatric Rehabilitation Medicine·David B JosephHadley Wood

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urine collection

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