title: We can rebuild it: reconstructive solutions for structural urologic diseases.
abstract: Bladder augmentation and urinary diversion have become standard of care as surgical treatments for structural and functional disorders affecting the bladder, both in children and adults. With improved medical care, long-term survival of these patients is expected. Common medical problems that can occur such as metabolic side effects including acid-base imbalances and nutritional issues need to be anticipated and addressed. In addition, surgical problems caused by impaired urinary drainage, namely stones and urinary tract infections, and mechanical factors related to catheterizable channels and continence also may compound postoperative management. The risk of malignancy after bladder augmentation and substitution, and appropriate surveillance for this, remains to be clearly defined.
authors.affiliation: Department of Pediatric Urology, Children's Hospital of Michigan, Detroit, MI.
authors.forename: Newaj M
authors.initials: NM
authors.lastname: Abdullah
authors.affiliation: Department of Pediatric Urology, Children's Hospital of Michigan, Detroit, MI. Electronic address: ylaksh@dmc.org.
authors.forename: Yegappan
authors.initials: Y
authors.lastname: Lakshmanan
mesh_terms: D000137:Acid-Base Imbalance / Q000378:metabolism; D018488:Bone Demineralization, Pathologic / Q000378:metabolism; D006801:Humans; D007413:Intestinal Mucosa / Q000378:metabolism; D007422:Intestines / Q000637:transplantation*; D011183:Postoperative Complications / Q000378:metabolism*; D019651:Plastic Surgery Procedures / Q000379:methods*; D001743:Urinary Bladder / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*; D014570:Urologic Diseases / Q000601:surgery*; D014806:Vitamin B 12 Deficiency / Q000378:metabolism; D014883:Water-Electrolyte Imbalance / Q000378:metabolism
keywords: Augmentation; Bladder; Metabolic complications; Urinary diversion