Laparoscopic bladder auto-augmentation in an incomplete traumatic spinal cord injury.
OBJECTIVE
To assess the urodynamic and clinical outcome of a laparoscopic auto-augmentated bladder.


METHODS
Laparoscopic bladder autoaugmentation in a 27-year-old woman with an incomplete spinal cord injury at T12 level with urge incontinence caused by a hyperreflexic bladder.


RESULTS
Six months later the patient voids by Valsalva's manoeuvre every 3 h and remains dry day and night. The radio-urodynamic study, performed 2 months later, revealed an intact bladder with a diverticulum of anterior wall and a capacity of 510 ml with filling rate of 100 ml/min without evidence of leakage of infusion water.


CONCLUSIONS
Laparoscopic retropubic auto-augmentation allows a brief hospital stay and minor postoperative discomfort. Moreover the laparoscopic approach should not complicate or preclude subsequent enterocystoplasty if necessary.
Siracusano
S
S
Department of Urology, University of Trieste, Italy.
Trombetta
C
C
Liguori
G
G
De Giorgi
G
G
d'Aloia
G
G
Di Benedetto
P
P
Belgrano
E
E
D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D011859:Radiography; D013119:Spinal Cord Injuries / Q000150:complications*; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000209:etiology* / Q000601:surgery*; D016476:Urinary Reservoirs, Continent; D014563:Urodynamics; D013520:Urologic Surgical Procedures