Clinical and Urodynamic Evaluation After Ureterocystoplasty With Different Amounts of Tissue

Abstract

There is a difference in median increased bladder capacity when a segment of distal ureter is used to augment the bladder versus 1 or 2 whole ureters. However, the use of distal ureter still represents a safe alternative for augmenting the bladder and simultaneously resolving massive reflux. Ureterocystoplasty is an excellent choice for increasing bladder capacity and improving bladder compliance despite the different amounts of tissue available.

Ureterocystoplasty in Bilaterally Functional Kidneys

“…Only 1 (6.3%) patient in the series of Churchill et al [6]could void spontaneously. Similarly 80% of the patients the series of Gosalbez and Kim [7]and 91% of the cases in the series of Zubieta et al [14]were on CIC. Fifty–seven percent of our patients also performed CIC.…”

“…We used a similar technique for ureterocystoplasty in our patients using both ureters to provide enough tissue for successful bladder augmentation. Recently Zubieta et al [14]reported the largest series of ureterocystoplasty with 32 patients. Transureteroureterostomy was performed in 11 cases to preserve the ipsilateral kidney and 7 cases in this group also underwent Cohen reimplantation [14].…”

“…Recently Zubieta et al [14]reported the largest series of ureterocystoplasty with 32 patients. Transureteroureterostomy was performed in 11 cases to preserve the ipsilateral kidney and 7 cases in this group also underwent Cohen reimplantation [14]. The authors found a difference in the median increased bladder capacity when only a segment of distal ureter (230%) was used to augment the bladder versus the use of one complete ureter or both ureters (375%) [14]).…”

“…Transureteroureterostomy was performed in 11 cases to preserve the ipsilateral kidney and 7 cases in this group also underwent Cohen reimplantation [14]. The authors found a difference in the median increased bladder capacity when only a segment of distal ureter (230%) was used to augment the bladder versus the use of one complete ureter or both ureters (375%) [14]). Only 1 patient in this series was subjected to reoperation because of stenosis of the transureteroureterostomy [14].…”

“…The authors found a difference in the median increased bladder capacity when only a segment of distal ureter (230%) was used to augment the bladder versus the use of one complete ureter or both ureters (375%) [14]). Only 1 patient in this series was subjected to reoperation because of stenosis of the transureteroureterostomy [14]. We achieved good results with the use of both ureters of functioning kidneys with a mean postoperative capacity of 279.3% and end–filling pressure of 18.9 cm H 2 O, and an acceptable complication rate (14%).…”