Augmentation myoperitoneocystoplasty.
The use of isolated intestinal segments is currently the best method of augmenting bladder capacity. The ability to perform a successful augmentation cystoplasty using nonintestinal tissue would decrease the morbidity of the operation. We studied the use of skeletal muscle-backed parietal peritoneal tissue in augmentation cystoplasty. In the experimental group animals, bladder capacity increased by 67% and urothelial regeneration was observed histologically. Problems with electrolyte abnormalities, urosepsis, or excessive mucous production were not encountered. In conclusion, a myoperitoneal flap may serve as a template for augmentation cystoplasty. Further investigation using this technique is warranted.
Weingarten
J L
JL
Division of Urologic Surgery, Albany Medical Center, New York.
Cromie
W J
WJ
Paty
R J
RJ
D000818:Animals; D005289:Ferrets; D008297:Male; D008722:Methods; D001743:Urinary Bladder / Q000473:pathology / Q000502:physiology / Q000601:surgery*