Outcome of augmentation sigmoidocystoplasty in children with neurogenic bladder.
OBJECTIVE
The role of augmentation cystoplasty in the neuropathic bladder has been well determined since clean intermittent self-catheterization (CISC) has been accepted as a treatment modality in voiding dysfunction. We present our clinical experience with sigmoid augmentation cystoplasty in children with neurogenic bladder disorder.


METHODS
From 1991 to 1997 sigmoid augmentation cystoplasty with modified clam technique was performed in 18 cases with neuropathic bladder pathologies. In 4 cases, ureteroneocystostomy was performed, 2 of whom were bilateral. Age range of these patients was 5-17 years (mean 10.3 years) and follow-up period was from 16 to 70 months (mean 41 months).


RESULTS
Pyuria was detected in 10 cases and 2 of them were symptomatic. Clinical acidosis was detected in only 1 case. Fifteen cases (83%) were continent by using CISC with 4-6 hourly and detrusor pressure lower than 30 cm water at maximal bladder capacity.


CONCLUSIONS
In children with neurogenic bladder pathologies refractory to conservative management, augmentation cystoplasty with CISC is an effective treatment modality in protecting the upper urinary tract and preventing incontinence.
Arikan
N
N
Department of Urology, University of Ankara, School of Medicine, Ankara, Turkey.
Türkölmez
K
K
Budak
M
M
Gögüş
O
O
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D012809:Colon, Sigmoid / Q000601:surgery*; D006801:Humans; D011776:Pyuria / Q000209:etiology; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000503:physiopathology / Q000601:surgery*; D014549:Urinary Incontinence / Q000517:prevention & control; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000379:methods