Augmentation cystoplasty: a report of eleven cases

ABSTRACT

Since 1988, eleven children underwent augmentation cystoplasty for bladder exstrophy/epispadias complex 6, myelomeningocoele 2, sacral agenesis 1 and non-compliant bladders associated with posterior urethral valves 2. the augmentation was performed by the use of sigmoid colon in 6 patients, ileum in 3, cecum in 1, and lyophilized human dura in 1. eight patients underwent additional procedures, including transtrigonal ureteric remplantation in 6 cases [11 ureters], young-Dees leadbetter procedure in 5, nephroureterectomy in 2, and mitrofanoff procedure with bladder neck closure in 1. the main complications included contracture and disruption of the dura cystoplasty in one patient [underwent continent diversion ultimately]; formation of large calculi in 2 patients; transient urinary leak in 2 and small bowell obstruction in 1. in the remaining 10 patients, 7 are dry with intermittent self catheterization and 3 are voiding and continent with crede maneuver. Augmentation cystoplasty using bowell segments proved to be a successful adjunct to reconstruction of the lower urinary Tract in selected patients with small capacity bladders