Laparoscopic bladder augmentation using stomach.
We present a case of bladder augmentation with stomach, via a laparoscopic approach. The patient was a 17-year-old girl with sacral agenesis and a poorly compliant bladder. A wedge of stomach, based on the right gastroepiploic pedicle, was obtained using a stapled technique. The bladder was opened and the gastric segment was sutured in place. A needle suspension was also carried out. Three months later, the patient was dry and catheterizing every 4 hours. Laparoscopic bladder augmentation is technically feasible and, in the properly selected patient, may be the preferred technique for creation of a compliant high-volume urinary reservoir.
Docimo
S G
SG
Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287-2101, USA.
Moore
R G
RG
Adams
J
J
Kavoussi
L R
LR
D000293:Adolescent; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D016377:Organ Transplantation / Q000379:methods; D013270:Stomach / Q000637:transplantation*; D001743:Urinary Bladder / Q000601:surgery*