[Augmentation ileocystoplasty in neurologic bladder].
OBJECTIVE
The authors evaluated the results of augmentation ileocystoplasty in patients presenting with neurogenic urinary incontinence.


METHODS
A prospective study was conducted in 36 patients (25 women, 11 men) 30 of whom simultaneously underwent a bladder neck continence procedure. The mean follow-up was 32.2 months.


RESULTS
Daytime continence was obtained in 32 patients (88.8%). Thirty patients (83.3%) were continent a night. The upper urinary tract did not deteriorate. One patient developed bladder stones and 2 presented a vesical perforation. Urodynamic studies showed an increased functional bladder capacity and compliance (p < 0.001) and loss of uninhibited bladder contractions.


CONCLUSIONS
Augmentation ileocystoplasty is an effective and reliable surgical procedure after failure of conservative management. However, long-term complications can occur and regular surveillance is necessary.
Fontaine
E
E
Service de Chirurgie Urologique, Hôpital Ambroise Paré, France.
Mongiat-Artus
P
P
Desert
J F
JF
Barthelemy
Y
Y
Chartier
E
E
Beurton
D
D
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods; D001750:Urinary Bladder, Neurogenic / Q000150:complications / Q000601:surgery*; D014549:Urinary Incontinence / Q000209:etiology / Q000601:surgery*
L'iléocystoplastie d'agrandissement dans les vessies neurologiques.