Ureterocystoplasty: Indications for a Successful Augmentation

Husmann, Douglas A.; Snodgrass, Warren; Koyle, Martin A.; Furness, Peter D.; Kropp, Bradley P.; Cheng, Earl Y.; Kaplan, William E.; Kramer, Steve

doi:10.1097/01.ju.0000100800.69333.4d

Cited by 61 publications

(23 citation statements)

References 16 publications

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“…The tissue considered to be ideal for augmentation is the urinary tract itself, used in situations of unilateral renal exclusion with ureteral dilatation 12,13 . When it is not possible to use the ureter, intestinal segments of the colon or ileum are usually employed or, more rarely, a gastric segment is used.…”

Section: Resultsmentioning

confidence: 99%

Complications after bladder augmentation in children

et al. 2016

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PURPOSE:Bladder augmentation is an effective surgical procedure for increasing bladder capacity and reducing pressure on the urinary system. It is indicated for patients with anomalies such as spina bifida, myelomeningocele, urethral valve and bladder exstrophy, who progress with low tolerance of medication. CASES:This was a retrospective study conducted on pediatric patients submitted to bladder augmentation from 2000 to 2011.RESULTS: 34 patients aged 4 to 17 years were submitted to bladder augmentation, 30 of them with an ileal loop and 4 with a ureter.A continent urinary shunt was performed in 16 patients, the Mitrofanoff conduit was associated in 15, and the Macedo technique was used in one. Mean follow-up was 34.35 months (1 to 122 months). Mean creatinine was 1.5 ng/ml (0.4 to 7.5 ng/ml) preoperatively and 1.78 ng/ml postoperatively. Three patients required a renal transplant during follow-up. There was improvement or resolution of vesicoureteral reflux in 83.5% of the kidneys on the right and in 75% on the left. Bladder capacity increased, on average, from 152.5 ml to 410 ml. The main complications were vesical lithiasis in 3 patients and conduit perforation in one. CONCLUSION:Bladder augmentation showed good results in this series, preserving renal function in most of the patients.

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Section: Resultsmentioning

confidence: 99%

Complications after bladder augmentation in children

et al. 2016

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“…Husmann et al [31] reviewed 64 patients undergoing this procedure and found that a large number eventually required repeat augmentation. Predictors of success were ureteral diameter greater than 1.5 cm and mild noncompliance of the bladder [31].…”

Section: Alternatives To Enterocystoplastymentioning

confidence: 97%

“…Ureterocystoplasty is only a consideration in select patients with a dilated collecting system but can provide durable urodynamic improvement [30]. Husmann et al [31] reviewed 64 patients undergoing this procedure and found that a large number eventually required repeat augmentation. Predictors of success were ureteral diameter greater than 1.5 cm and mild noncompliance of the bladder [31].…”

Section: Alternatives To Enterocystoplastymentioning

confidence: 97%

Urologic care of adults with spina bifida

Martin¹,

Ritchey

2009

Curr Bladder Dysfunct Rep

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“…No serious complications have been reported with the use of this procedure, although the need for reaugmentation has been informed to a high degree in the case of native bladders with severely reduced compliance. It is thought that the best candidates to receive ureterocystoplasty have moderately reduced compliance (> 20 ml/cmh2o) and available ureter of a diameter greater than 15 mm to be used in the reconstruction (Husmann et al, 2004) When it is not possible to obtain urothelial tissue for bladder augmentation, segments from the digestive tube are used: from the stomach, now hardly ever used, to bowel segments. The native bladder is preserved and, for a better anastomosis to the bowel segment, a sagittal incision is performed in order to divide it in two valves.…”

Section: Reconstruction Of the Urinary Tract In Childrenmentioning

confidence: 99%