Ileocystoplasty in children: assessing safety and success.
From 1987 to 1992, bladder augmentation using clam ileocystoplasty was performed in 39 children 1.5-17.5 years old (mean age 9.7 years). Indications for augmentation included neuropathic bladder, epispadias-exstrophy complex and posterior urethral valves. A satisfactory bladder capacity at safe storage pressures of < 20 cm saline was achieved in all patients. Hydroureteronephrosis resolved or improved in 33 of the 36 moieties (91.7%). No patient showed biochemical or radiological deterioration of the upper tracts. The incidence of symptomatic urinary tract infection fell significantly postoperatively. Seven patients (17.9%) developed a total of 10 complications, with rupture of the augmented bladder occurring in 4 patients (10.3%).
Krishna
A
A
Division of Paediatric Urology, Royal Manchester Children's Hospital, UK.
Gough
D C
DC
Fishwick
J
J
Bruce
J
J
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery*; D007223:Infant; D007415:Intestinal Obstruction / Q000209:etiology; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies; D001743:Urinary Bladder / Q000293:injuries / Q000601:surgery*; D001744:Urinary Bladder Calculi / Q000209:etiology; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology