Skip to main content
Log in

Augmentation cystoplasty

  • Advances in Neurourology
  • Published:
World Journal of Urology Aims and scope Submit manuscript

Summary

Augmentation cystoplasty is a versatile procedure now performed for a number of conditions previously managed by undiversion. The goals of enterocystoplasty are to create a low-pressure reservoir that will empty by voiding or self-intermittent catheterization, maintain continence, and protect the upper tracts from reflux. We will discuss a variety of techniques employed to achieve these three goals and conclude with a brief summary of potential short- and long-term complications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Adams MC, Mitchell NE, Rink RC (1988) Gastrocystoplasty: An alternative solution in the severely compromised patient. J Urol 140:1152–1158

    Google Scholar 

  2. Bramble FJ (1982) The treatment of adult enuresis and urge incontinence by enterocystoplasty. Br J Urol 54:693–696

    Google Scholar 

  3. Brock WA, So EP, Harbach CB, et al. (1981) Intermittent catheterization in the management of neurogenic vesical dysfunction in children. J Urol 125:391–393

    Google Scholar 

  4. Cheng C, Whitfield HN (1990) Cystoplasty: tubularization or detubularization? Br J Urol 66:30–34

    Google Scholar 

  5. Cohen SJ (1975) Ureterozystoneostomie: eine neue Antireflux-Technik. Akt Urol 6:1

    Google Scholar 

  6. Couvelaire R (1951) La “petite vessie” des tuberculeaux genitourinaires: essai de classification place et variantes des cysto-intestino-plasties. J Urol Med 57:408

    Google Scholar 

  7. Diokno AC, Kass E, Lapides J (1976) A new approach to myelodysplasia. J Urol 116:771–772

    Google Scholar 

  8. Dunn M, Roberts JBM, Smith PJB et al. (1979) The long term results of ileal conduit urinary diversion in children. Br J Urol 51:458

    Google Scholar 

  9. Gillon G, Mundy AR (1989) The dissolution of urinary mucus after cystoplasty. Br J Urol 63:372–374

    Google Scholar 

  10. Gil-Vernet JM (1965) The ileocolic segment in urologic surgery. J Urol 94:418–426

    Google Scholar 

  11. Gil-Vernet JM, Escarpenter JM, Perez-Trojillo G et al. (1962) A functioning artificial bladder: results of 41 consecutive cases. J Urol 87:825–836

    Google Scholar 

  12. Gittes RF (1977) Bladder augmentation procedures. In: Libertino JA, Zinman L (eds) Reconstructive urologic surgery: pediatric and adult. Williams and Wikins, Baltimore, pp 216–226

    Google Scholar 

  13. Golomb J, Klutke CG, Lewin KJ, Goodwin WE, et al. (1989) Bladder neoplasms associated with augmentation cystoplasty: report of 2 cases and literature review. J Urol 142:377–380

    Google Scholar 

  14. Gonzales R, Sidi AA (1985) Preoperative prediction of continence after enterocystoplasty or undiversion in children with neurogenic bladder. J Urol 134:705–707

    Google Scholar 

  15. Gonzales R, Sidi AA (1987) Comparison of artificial sphincter implantation and bladder reconstruction in patients with neurogenic urinary incontinence. J Urol 138:1120–1122

    Google Scholar 

  16. Goodwin WE, Harris AP, Kaufman JJ, Beal JM (1953) Open transcolonic ureterointestinal anastomosis: a new approach. Surg Gynecol Abstr 97:295–300

    Google Scholar 

  17. Hendren WH (1980) Reoperative ureteral reimplantation: management of the difficult case. J Pediatr Surg 15:770–786

    Google Scholar 

  18. Hendren WH (1987) Techniques for undiversion. In: King LR, Stone AR, Webster GD (eds) Bladder reconstruction and continent urinary diversion. Yearbook Medical Publishers, Chicago, pp 101–126

    Google Scholar 

  19. Kaplan WE (1987) The endoscopic correction of reflux by polytetrafluoroesethylene injection. J Urol 138:953–955

    Google Scholar 

  20. King LR (1987) Protection of the upper tracts in undiversion. In: King LR, Stone AR, Webster GD (eds) Bladder reconstruction and continent urinary diversion. Yearbook Medical Publishers, Chicago, pp 127–153

    Google Scholar 

  21. Kirby RS, Turner-Warwick (1987) Substitution cystoplasty. In: King LR, Stone AR, Webster GD (eds) Bladder reconstruction and continent urinary diversion. Yearbook Medical Publishers, Chicago, pp 41–63

    Google Scholar 

  22. Koch MD, McDougal WS (1985) The pathophysiology of hyperchloremic metabolic acidosis after urinary diversion through intestinal segments. Surgery 98:561–570

    Google Scholar 

  23. Koff SA (1988) Guidelines to determine the size and shape of intestinal segments used for reconstruction. J Urol 140:1150–1151

    Google Scholar 

  24. Kuss R (1962) Colocystoplasty rather than ileocystoplasty. J Urol 82:587–589

    Google Scholar 

  25. Kuss R, Bitker M, Camey M et al. (1970) Indications and early and late results of intestinocystoplasty: a review of 185 cases. J Urol 103:53–63

    Google Scholar 

  26. Lapides J, Diokno AC, Silber SJ et al. (1972) Clean intermittent self catheterization in the treatment of urinary tract disease. J Urol 107:458–461

    Google Scholar 

  27. Lockhart J: (1984) Periurethral polytetrafluoroethylene injections in incontinent female subjects with neurogenic bladder disease. J Urol 131:459–462

    Google Scholar 

  28. Mulcahy JJ, James HE, McRoberts JW (1977) Oxybutynin chloride combined with intermittent clean catheterization in the treatment of myelomeningocele patients. J Urol 118:95–96

    Google Scholar 

  29. Nurse DE, Mundy AR (1989) Assessement of the malignant potential of cystoplasty. Br J Urol 64:489–491

    Google Scholar 

  30. O'Donnell B, Pura P (1986) Endoscopic correction of primary vesicoureteral reflux. Br J Urol 58:601–604

    Google Scholar 

  31. Orr JD, Schand JEG, Watters DAK et al. (1981) Ileal conduit urinary diversion in children: an assessment of the long term results. Br J Urol 53:424–427

    Google Scholar 

  32. Pitts WR, Muecke EC (1979) A 20 year experience with ileal conduits: the fate of the kidneys. J Urol 122:154–157

    Google Scholar 

  33. Schwarz GR, Jeffs RD (1975) Ileal conduit urinary diversion in children: computer analysis of followup from 2 to 16 years. J Urol 114:285–288

    Google Scholar 

  34. Smith ED (1972) Urinary prognosis in spina bifida. J Urol 108:815

    Google Scholar 

  35. Smith RB, Van Cangh P, Skinner DG et al. (1977) Augmentation enterocystoplasty: a critical review. J Urol 118:35–39

    Google Scholar 

  36. Stephenson TP (1987) Undiversion and transplantation. In: King LR, Stone AR, Webster GD (eds) Bladder reconstruction and continent urinary diversion. Yearbook Medical Publishers. Chicago, pp 154–161

    Google Scholar 

  37. Turner-Warwick R, Ashken MH (1967) The functional results of partial, subtotal and total cystoplastywith special reference to enterocystoplasty, selective sphincterotomy and cystocystoplasty. Br J Urol 39:3–12

    Google Scholar 

  38. Webster GD (1990) Clam augmentation cystoplasty management of intractable detrusor hyperactivity. J Urol (in press)

  39. Webster GD, Goldwasser BZ (1987) Management of incontinence after cystoplasty. In: King LR, Stone AR, Webster GD (eds) Bladder reconstruction and continent urinary diversion. Yerbook Medical Publishers, Chicago, pp 75–86

    Google Scholar 

  40. Zinman L, Libertino JA (1980) Technique of augmentation cecocystoplasty. Surg Clin North Am 60:703–710

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Khoury, J.M., Webster, G.D. Augmentation cystoplasty. World J Urol 8, 203–207 (1990). https://doi.org/10.1007/BF01580021

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01580021

Keywords

Navigation