title: Laparoscopic augmentation ileocystoplasty: results and outcome.
abstract: 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.
authors.affiliation: Department of Urology, Cairo University Hospitals, Cairo, Egypt. ahmed_elfeel@msn.com
authors.forename: Ahmed
authors.initials: A
authors.lastname: el-Feel
authors.forename: Mahmoud A
authors.initials: MA
authors.lastname: Abdel-Hakim
authors.forename: Hazem
authors.initials: H
authors.lastname: Abouel-Fettouh
authors.forename: Amr M
authors.initials: AM
authors.lastname: Abdel-Hakim
mesh_terms: 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