[Laparoscopic augmentation enterocystoplasty: initial experience].
OBJECTIVE
To analyze the initial experience of our group in the realization of the augmentation enterocystoplasty by laparoscopyc approach.


METHODS
We describe the augmentation enterocystoplasty technique with ileal segment completely achieved by laparoscopyc approach. We present the cases of two patients suffering from hyperreflexic bladder refractory to medical treatment who underwent this surgery. In both cases the technique was realized without intraoperative complications although it was needed a surgical time of 6 and 4.5 hours respectively. The results after 12 and 5 months were satisfactory in both patients, obtaining a low pressure bladder with a good continence.


CONCLUSIONS
Laparoscopyc augmentation enterocystoplasty is a complicated technique that requires a great experience, mainly in laparoscopyc suture. It reproduces completely the open surgery and it offers all the advantages inherent to the laparoscopyc surgery.
Núñez Mora
C
C
Servicio de Urología, Hospital Universitario La Paz, Universidad Autónoma de Madrid. cnunezmora@hotmail.com
Cansino Alcaide
R
R
Alonso Gregorio
S
S
Martínez-Piñeiro
Lorenzo L
LL
De la Peña Barthel
J
J
D000328:Adult; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D010535:Laparoscopy; D008297:Male; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*; D053201:Urinary Bladder, Overactive / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods