Bladder augmentation with detubularized intestinal segment.
The authors report on 9 cases of bladder augmentation with detubularized intestinal segments. The capacity of the contracted bladder was increased in 4 cases; care was taken to prevent the development of an hour-glass bladder. In a young female patient a caecal-ileal segment was applied so that in case of a possible future pregnancy the mesentery should not hinder the growth of the uterus. In 4 cases hypertonic neurogenic bladders were augmented with intestinal segments, thus the further destruction of the kidneys could be avoided. In one case the reflux was hindered by a Kock valve, but stagnation developed above the valve, therefore it was eliminated and replaced by a 15 cm intestinal segment. In one case the uninhibited neurogenic bladder was augmented, the resistance of the urethra increased as a result of which the patient stayed dry between self-catheterizations. Attention is called upon the metabolic disturbances and increased risk of infection following intestinal implantations.
Pajor
L
L
Department of Urology, Semmelweis University Medical School, Budapest, Hungary.
Koiss
I
I
Nagy
F
F
Kopa
Z
Z
Keszthelyi
A
A
D015653:Cystectomy; D005260:Female; D006801:Humans; D007422:Intestines / Q000637:transplantation*; D008297:Male; D011859:Radiography; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000601:surgery*; D001745:Urinary Bladder Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000601:surgery