Experiences with Bladder Reconstruction in Children
- 1 October 1987
- journal article
- Published by Wolters Kluwer Health in Journal of Urology
- Vol. 138 (4 Part 2), 1002-1006
- https://doi.org/10.1016/s0022-5347(17)43482-3
Abstract
The results in 56 children (28 with neurogenic bladder dysfunction) undergoing enterocystoplasty between 1981 and 1985 are presented. Ileal, ileocecal, right colon and sigmoid segments were used in tubular and opened configurations. Our experience leads us to recommend opened ileal segment reconstruction in neurogenic bladder patients and those with weak anal sphincters generally, and open ileocecal or open right colon segments in patients with other etiologies. Continence was achieved in 53 patients, although secondary procedures, particularly at the bladder outlet, were required in 13. When ureteral reimplantation was required we achieved excellent success with normal-sized or mildly dilated ureters regardless of the operative technique used. Initial failures to prevent reflux in the face of marked ureterectasis using the ileocecal valve have been resolved by a modified technique of intussusception and fixation. An over-all favorable experience is reported, which we believe permits us to formulate certain rules that will improve the acceptability and success of bladder reconstruction in general.Keywords
This publication has 24 references indexed in Scilit:
- Cystometric Properties of Ileum and Right Colon After Bladder Augmentation, Substitution or ReplacementJournal of Urology, 1987
- Bladder Substitution in ChildrenUrologic Clinics of North America, 1986
- A new technique for the prevention of reflux in those undergoing bladder substitution or undiversion using bowel segmentsWorld Journal of Urology, 1985
- Long-Term Functional Results of Urinary Tract Reconstruction in ChildhoodJournal of Urology, 1982
- Further Experience with the Ileocecal Segment in Urinary ReconstructionJournal of Urology, 1982
- The role of bladder augmentation in undiversionJournal of Pediatric Surgery, 1981
- Prognostic Value of Urodynamic Testing in Myelodysplastic PatientsJournal of Urology, 1981
- Urinary Diversion and Undiversion in ChildrenSurgical Clinics of North America, 1976
- Reconstruction (‘Undiversion’) of the Diverted Urinary TractHospital Practice, 1976
- THE FUNCTIONAL RESULTS OF PARTIAL, SUBTOTAL AND TOTAL CYSTOPLASTY WITH SPECIAL REFERENCE TO URETEROÆCOCYSTOPLASTY, SELECTIVE SPHINCTEROTOMY AND CYSTOCYSTOPLASTY1British Journal of Urology, 1967