Bladder augmentation with detubularized intestinal segment.

Abstract:

:The authors report on 9 cases of bladder augmentation with detubularized intestinal segments. The capacity of the contracted bladder was increased in 4 cases; care was taken to prevent the development of an hour-glass bladder. In a young female patient a caecal-ileal segment was applied so that in case of a possible future pregnancy the mesentery should not hinder the growth of the uterus. In 4 cases hypertonic neurogenic bladders were augmented with intestinal segments, thus the further destruction of the kidneys could be avoided. In one case the reflux was hindered by a Kock valve, but stagnation developed above the valve, therefore it was eliminated and replaced by a 15 cm intestinal segment. In one case the uninhibited neurogenic bladder was augmented, the resistance of the urethra increased as a result of which the patient stayed dry between self-catheterizations. Attention is called upon the metabolic disturbances and increased risk of infection following intestinal implantations.

journal_name

Int Urol Nephrol

authors

Pajor L,Koiss I,Nagy F,Kopa Z,Keszthelyi A

doi

10.1007/BF02550073

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

387-94

issue

4

eissn

0301-1623

issn

1573-2584

journal_volume

27

pub_type

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