Laparoscopic augmentation ileocystoplasty: results and outcome.
BACKGROUND
Routine use of laparoscopic augmentation ileocystoplasty has not yet been established.


OBJECTIVE
To assess the outcome of laparoscopic augmentation ileocystoplasty.


METHODS
Twenty-three patients underwent laparoscopic augmentation ileocystoplasty for hypocompliant bladder.


METHODS
Bladder dissection and reconstruction of the ileovesical anastomosis were performed laparoscopically, whereas the ileal pouch was prepared extracorporeally through a small 3- to 4-cm muscle-splitting incision.


METHODS
Patient data, operative details, and follow-up were recorded. Urodynamic evaluation was performed preoperatively and after 12 mo, taking the bladder capacity and the maximum detrusor pressure as a measure for the outcome of the procedure.


CONCLUSIONS
All cases were completed laparoscopically, with a mean operative time 202 min; mean hospital stay 5 d, and mean urethral catheter duration 11 d. After 12 mo, the estimated bladder volume increased from a mean 111 ml to 788 ml (p<0.01), whereas the maximum detrusor pressure dropped from a mean 92 cm H(2)O to 15 cm H(2)O (p<0.01). During a mean follow-up of 39 mo, two long-term complications have been reported: bladder stone and spontaneous rupture of the augmented bladder due to neglected clean intermittent self-catheterization.


CONCLUSIONS
Laparoscopic augmentation ileocystoplasty is a safe procedure, technically feasible and with favourable urodynamic outcome.
el-Feel
Ahmed
A
Department of Urology, Cairo University Hospitals, Cairo, Egypt. ahmed_elfeel@msn.com
Abdel-Hakim
Mahmoud A
MA
Abouel-Fettouh
Hazem
H
Abdel-Hakim
Amr M
AM
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006801:Humans; D007082:Ileum / Q000637:transplantation*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*; D001745:Urinary Bladder Diseases / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods; D055815:Young Adult