title: "Spiral-Cap" ileocystoplasty for bladder augmentation and ureteric reimplant.
abstract: OBJECTIVE
  To demonstrate the new technique of Spiral-cap ileocystoplasty for bladder augmentation and simultaneous ureteric reimplant.
  
  
  METHODS
  Seven patients with small capacity bladder and simultaneous lower ureteric involvement operated in single tertiary care institute over the last 5 years were included in this study. Spiral-cap ileocystoplasty was used in all the patients for bladder augmentation. Proximal part of the same ileal loop was used in isoperistaltic manner for ureteric reimplantation. Distal end of this ileal loop was intussuscepted into the pouch to decrease the incidence of reflux. Detubularized distal portion of the loop was reconfigured in spiral manner to augment the native bladder. Patients were analyzed for upper tract changes, serum creatinine, bladder capacity, and requirement of clean intermittent self-catheterization in follow-up over 5 years.
  
  
  RESULTS
  There was no evidence of any urinary or bowel leak in the postoperative period. Recovery was equivalent with those treated with other methods of bladder augmentation. Follow-up ultrasonography showed good capacity bladder. Upper tracts were well preserved in follow-up. Urinary bladder and lower ureter pathologies were addressed simultaneously.
  
  
  CONCLUSIONS
  Spiral-cap ileocystoplasty is a useful technique in patients who require simultaneous bladder augmentation and ureteric reimplant.
authors.affiliation: Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India.
authors.forename: S Ajit
authors.initials: SA
authors.lastname: Sawant
authors.affiliation: Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India.
authors.forename: Ashwin Sunil
authors.initials: AS
authors.lastname: Tamhankar
authors.affiliation: Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India.
authors.forename: Vikash
authors.initials: V
authors.lastname: Kumar
authors.affiliation: Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India.
authors.forename: W Pawar
authors.initials: WP
authors.lastname: Prakash
authors.affiliation: Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India.
authors.forename: V Kasat
authors.initials: VK
authors.lastname: Gaurav
authors.affiliation: Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India.
authors.forename: Sumit
authors.initials: S
authors.lastname: Bansal
keywords: Bladder augmentation; genitourinary tuberculosis; ileocystoplasty; spiral-cap; ureteric reimplant