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.
Division of Urologic Surgery, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.
E M
EM
McDougall
R V
RV
Clayman
R S
RS
Figenshau
M S
MS
Pearle
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