Bladder augmentation: Siriraj experience.

ABSTRACT

Since 1987, 13 patients with low compliance bladder secondary to genitourinary tuberculosis, neuropathic bladder and contracted bladder from other causes underwent augmentation cystoplasty. Ileal segments were used in all of them and no serious complication was found. All eight patients with tuberculous cystitis and chronic scarring of the bladder from other causes, who had been suffering from frequent voiding, were free of these symptoms postoperatively. Three patients could void by themselves but the others required intermitted catheterization to remove residual urine. In five cases of neuropathic bladder, four patients with reflex incontinence were continent postoperatively and in one case with vesicoureteral reflux the symptoms subsided. All patients were satisfied with the outcome following surgery. Augmentation cystoplasty appears to offer a reliable procedure for low compliance bladder.