Ileumaugmentation and alloplastic sphincter implants.
A total of 46 patients with reflex bladder activity who failed conservative treatment underwent bladder augmentation in some cases in combination with the implantation of an artificial sphincter. Twenty were a result of a spinal cord injury and 26 had myelomeningocele. Acceptable continence has been achieved in 42 patients. In order to accomplish this 39 simple bladder augmentations with ileum, 5 total bladder replacements and 2 augmentations with sigma were performed. Additionally 6 antireflux operations, 8 bladder-flap procedures and 26 implantations of an artificial sphincter were carried out. Overall patient satisfaction was 88 percent.
Noll
F
F
Department of Urology, University of Witten/Herdecke.
Schreiter
F
F
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008591:Meningomyelocele / Q000150:complications; D008875:Middle Aged; D019736:Prostheses and Implants; D013119:Spinal Cord Injuries / Q000150:complications; D001743:Urinary Bladder / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000601:surgery*