Laparoscopic retropubic auto-augmentation of the bladder.
The small capacity or contracted bladder is a difficult management problem. The goal of bladder augmentation is to create a storage structure with an adequate capacity and low pressure. Bladder auto-augmentation creates a large bladder diverticulum by partially excising the detrusor muscle. We report our initial experience with an extraperitoneal approach to laparoscopic auto-augmentation in a patient with a small contracted bladder. This is a technically feasible operation but longer clinical followup is necessary to determine its durability in the management of the small contracted bladder.
McDougall
E M
EM
Division of Urologic Surgery, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.
Clayman
R V
RV
Figenshau
R S
RS
Pearle
M S
MS
D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D013119:Spinal Cord Injuries / Q000150:complications; D001743:Urinary Bladder / Q000601:surgery*; D001745:Urinary Bladder Diseases / Q000503:physiopathology / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000150:complications; D014563:Urodynamics