title: Pure laparoscopic augmentation ileocystoplasty.
abstract: BACKGROUND
  Guillain-Barre syndrome is an acute neuropathy that rarely compromises bladder function. Conservative management including clean intermittent catheterization and pharmacotherapy is the primary approach for hypocompliant contracted bladder. Surgical treatment may be used in refractory cases to improve bladder compliance and capacity in order to protect the upper urinary tract. We describe a case of pure laparoscopic augmentation ileocystoplasty in a patient affected by Guillain-Barre syndrome.
  
  
  METHODS
  A 15-year-old female, complaining of voiding dysfunction, recurrent urinary tract infection and worsening renal function for three months. A previous history of Guillain-Barre syndrome on childhood was related. A voiding cystourethrography showed a pine-cone bladder with moderate post-void residual urine. The urodynamic demonstrated a hypocompliant bladder and small bladder capacity (190 mL) with high detrusor pressure (54 cmH2O). Nonsurgical treatments were attempted, however unsuccessfully.
authors.affiliation: Faculty of Medical Sciences of Paraiba and Department of Urology, Police Military Hospital Edson Ramalho, João Pessoa, PB, Brazil.
authors.forename: Rafael B
authors.initials: RB
authors.lastname: Rebouças
authors.affiliation: Faculty of Medical Sciences of Paraiba and Department of Urology, Police Military Hospital Edson Ramalho, João Pessoa, PB, Brazil.
authors.forename: Rodrigo C
authors.initials: RC
authors.lastname: Monteiro
authors.affiliation: Faculty of Medical Sciences of Paraiba and Department of Urology, Police Military Hospital Edson Ramalho, João Pessoa, PB, Brazil.
authors.forename: Thiago N S de
authors.initials: TN
authors.lastname: Souza
authors.affiliation: Faculty of Medical Sciences of Paraiba and Department of Urology, Police Military Hospital Edson Ramalho, João Pessoa, PB, Brazil.
authors.forename: Augusto J de
authors.initials: AJ
authors.lastname: Aragão
authors.affiliation: Faculty of Medical Sciences of Paraiba and Department of Urology, Police Military Hospital Edson Ramalho, João Pessoa, PB, Brazil.
authors.forename: Camila R T
authors.initials: CR
authors.lastname: Burity
authors.affiliation: Faculty of Medical Sciences of Paraiba and Department of Urology, Police Military Hospital Edson Ramalho, João Pessoa, PB, Brazil.
authors.forename: Júlio C de A
authors.initials: JC
authors.lastname: Nóbrega
authors.affiliation: Faculty of Medical Sciences of Paraiba and Department of Urology, Police Military Hospital Edson Ramalho, João Pessoa, PB, Brazil.
authors.forename: Natália S C de
authors.initials: NS
authors.lastname: Oliveira
authors.affiliation: Faculty of Medical Sciences of Paraiba and Department of Urology, Police Military Hospital Edson Ramalho, João Pessoa, PB, Brazil.
authors.forename: Ramon B
authors.initials: RB
authors.lastname: Abrantes
authors.affiliation: Faculty of Medical Sciences of Paraiba and Department of Urology, Police Military Hospital Edson Ramalho, João Pessoa, PB, Brazil.
authors.forename: Luiz B
authors.initials: LB
authors.lastname: Dantas Júnior
authors.affiliation: Faculty of Medical Sciences of Paraiba and Department of Urology, Police Military Hospital Edson Ramalho, João Pessoa, PB, Brazil.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Cartaxo Filho
authors.affiliation: Faculty of Medical Sciences of Paraiba and Department of Urology, Police Military Hospital Edson Ramalho, João Pessoa, PB, Brazil.
authors.forename: Gustavo R P
authors.initials: GR
authors.lastname: Negromonte
authors.affiliation: Faculty of Medical Sciences of Paraiba and Department of Urology, Police Military Hospital Edson Ramalho, João Pessoa, PB, Brazil.
authors.forename: Rafael da C R
authors.initials: Rda C
authors.lastname: Sampaio
authors.affiliation: Faculty of Medical Sciences of Paraiba and Department of Urology, Police Military Hospital Edson Ramalho, João Pessoa, PB, Brazil.
authors.forename: Cesar A
authors.initials: CA
authors.lastname: Britto
mesh_terms: D000293:Adolescent; D000714:Anastomosis, Surgical; D005260:Female; D020275:Guillain-Barre Syndrome / Q000601:surgery*; D006801:Humans; D007082:Ileum / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D061646:Operative Time; D015203:Reproducibility of Results; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*