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Br J Urol. 1994 May;73(5):575-9.

Ureterocystoplasty: the 'bladder' augmentation of choice.

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1
Department of Paediatric Urology, Southampton General Hospital, UK.

Abstract

OBJECTIVE:

To reduce the complications of enterocystoplasty by augmenting the bladder with a megaureter.

PATIENTS AND METHODS:

Ureterocystoplasty was performed in eight children aged 20 months-15 years. Three had impaired renal function and three were in established chronic polyuric renal failure.

RESULTS:

The seven older children were dry by day with clean intermittent catheterization and the youngest, at the age of 3 1/2 years, had a dry interval of 2 h after catheterization. The three children with polyuric renal failure required nocturnal catheterization or were wet at night. The post-operative urodynamics showed a significant improvement in all cases with abolition of detrusor instability in seven patients and a reduction in end filling pressure. Bladder volume increased from a mean of 100 ml (range 45-215) to 311 ml (range 150-450) (P = 0.01). There was no deterioration in renal function.

CONCLUSION:

The early results of ureterocystoplasty compare favourably with those of enterocystoplasty without the risks of long-term metabolic and neoplastic complications.

[Indexed for MEDLINE]

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