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DOI: 10.1055/s-2003-39037
Bladder Reconstruction Using Bowel Segments
Publikationsverlauf
Publikationsdatum:
07. Mai 2003 (online)
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ABSTRACT
Enterocystoplasty is a feasible and successful technique for creating a compliant and large-capacity storage unit. It protects the upper urinary tract and provides urinary continence for people with bladder dysfunction caused by noncompliance or reduced functional capacity when more conservative management fails. Augmentation cystoplasty has a significant clinical improvement on bladder control without a negative impact on bowel control. Various bowel segments can be fashioned and anastomosed to the bladder; however, no bowel segment is a physiologic substitute for a native bladder. All have the potential for a variety of complications including urinary tract infection, stone and mucus formation, small bowel obstruction, metabolic complications, fistula formation, and malignancy transformation. The choice of the bowel segment is based on the primary clinical requirements of the patient and the secondary preference of the surgeons. The technical steps in performing a laparoscopic bladder augmentation are designed to emulate its open surgical counterpart in every aspect, thereby producing similar functional results with an improved recovery.
KEYWORDS
Augmentation - cystoplasty - incontinence - diversion
REFERENCES
- 1 Tizzoni G, Foggi A. Die wiederhesellung der harnblase. Centralbl F Chir . 1888; 15 921-923
- 2 Mikulicz J. Zur Operation der angeborenen Blasenspalte. Zentralbl Chir . 1899; 26 641
- 3 Novick A C. Augmentation cystoplasty.In: Operative Urology. Baltimore: Williams and Wilkins 1982: 98-106
- 4 Rackley R R, Abdelmalak J B. Laparoscopic augmentation cystoplasty, surgical technique. Urol Clin North Am . 2001; 28 663-670
- 5 Garrard C L, Clements R H, Nanney L, Davidson J M, Richard W O. Adhesion formation is reduced after laparoscopic surgery. Surg Endosc . 1999; 13 10-13
- 6 Couvelaire R. La petite vessie des tuberculeux genitourinaires: essai de classification. Places et variantes des cysto-intestinoplasties. J Urol (Paris) . 1950; 56 381-434
- 7 Chatelain C, Camey M. Indications des plasties intestinales de la voie excretice dans la bilharziose urogenitale. J Urol Nephrol (Paris) . 1967; 73(suppl) 410-416
- 8 Webster G D, Maggio M L. The management of chronic interstitial cystitis by substitution cystoplasty. J Urol . 1989; 14 287-291
- 9 Nasrallah P F, Aliabadi H A. Bladder augmentation in patients with neurogenic bladder and vesicoureteral reflux. J Urol . 1991; 146 563-566
- 10 Lockhart J L, Bejany D, Politano V A. Augmentation cystoplasty in the management of neurogenic bladder disease and urinary incontinence. J Urol . 1986; 135 969-971
- 11 Linder A, Leach G E, Raz S. Augmentation cystoplasty in the treatment of neurogenic bladder dysfunction. J Urol . 1983; 129 491-493
- 12 Sidi A A, Becher E F, Reddy P K, Dykstra D D. Augmentation enterocystoplasty for the management of voiding dysfunction in spinal cord injury patients. J Urol . 1990; 143 83-85
- 13 Hasan S T, Marshall C, Robson W A, Neal D E. Clinical outcome and quality of life following enterocystoplasty for idiopathic detrusor instability and neurogenic bladder dysfunction. Br J Urol . 1995; 76 551-557
- 14 Mundy A R, Stephenson T P. Clam ileocystoplasty for the treatment of refractory urge incontinence. Br J Urol . 1985; 57 641-646
- 15 Gearhart J P, Albertsen P C, Marshall F F, Jeffs R D. Pediatric applications of augmentation cystoplasty: the John Hopkins experience. J Urol . 1986; 136 530-532
- 16 Glassberg K I. Current issues regarding posterior urethral valves. Urol Clin North Am . 1985; 12 175-185
- 17 Zaragoza M R, Ritchey M L, Bloom D A, McGuire E J. Enterocystoplasty in renal transplantation candidates: urodynamic evaluation and outcome. J Urol . 1993; 150 1463-1466
- 18 George V K, Russell G L, Shutt A, Gaches C G, Ashken M H. Clam ileocystoplasty. Br J Urol . 1991; 68 487-489
- 19 Kockelbergh R C, Tan J B, Bates C P, Bishop M C, Dunn M, Lemberger R J. Clam enterocystoplasty in general urological practice. Br J Urol . 1991; 68 38-41
- 20 Smith R B, van Cangh P, Skinner D G, Kauffman J J, Goodwin W E. Augmentation cystoplasty: a critical review. J Urol . 1997; 118 35-39
- 21 Kuss R, Bitker M, Camey M, Chatelain C, Lassau J P. Indications and early and late results of intestinocystoplasty: a review of 185 cases. J Urol . 1970; 103 53-63
- 22 Koch M O, McDougal W S. The pathophysiology of hyperchloraemic metabolic acidosis after urinary diversion through intestinal segments. Surgery . 1985; 98 561-570
- 23 McDougal W S. Metabolic complications of urinary intestinal diversion. J Urol . 1992; 147 1199-1208
- 24 Lemann Jr J, Litzow R, Lennon E J. The effect of chronic acid loads in normal man: further evidence for the participation of bone mineral in the defense against chronic metabolic acidosis. J Clin Invest . 1966; 45 1608-1614
- 25 Mitchell M E, Piser J A. Enterocystoplasty and total bladder replacement in children and young adults: follow-up in 129 cases. J Urol . 1987; 138 579-584
- 26 Greenwell T J, Venn S N, Mundy A R. Augmentation cystoplasty. BJU Int . 2001; 88 511-525
- 27 Bogaert G A, Mevorach R A, Kogan B A. Urodynamic and clinical follow-up of children after gastrocystoplasty. Br J Urol . 1994; 74 469-475
- 28 Plawker M W, Rabinowitz S S, Etwaru D J, Glassberg K I. Hypergastrinaemia, dysuria-hematuria and metabolic alkalosis: complications associated with gastrocystoplasty. J Urol . 1995; 154 546-549
- 29 Tiffany P, Vaughan Jr D E, Marion D, Amberson J. Hypergastrinemia following antral gastrocystoplasty. J Urol . 1986; 136 692-695
- 30 Reinberg Y, Manivel J C, Froemming C, Gonzalez R. Perforation of gastric segment of an augmented bladder secondary to peptic ulcer disease. J Urol . 1992; 148 369-371
- 31 Rink R C, Hollensbe D, Adams M C. Complications of augmentation in children and comparison of gastrointestinal segments. American Urological Association Update Series . 1995; 14 122-128
- 32 Murray K, Nurse D E, Mundy A R. Secreto-motor function of intestinal segments used in lower urinary tract reconstruction. Br J Urol . 1987; 60 532-535
- 33 Khoury A E, Salomon M, Doche R. et al . Stone formation after augmentation cystoplasty; the role of intestinal mucus. J Urol . 1997; 158 1133-1137
- 34 Rushton H G, Woodard J R, Parrott T S, Jeffs R D, Gearhart J P. Delayed bladder rupture after enterocystoplasty. J Urol . 1988; 140 344-346
- 35 George V K, Gee J M, Wortley M I, Stott M, Gaches C G, Ashken M H. The effect of ranitidine on urine mucus concentration in patients with enterocystoplasty. Br J Urol . 1992; 70 30-32
- 36 Gillon G, Mundy A R. The dissolution of urinary mucus after cystoplasty. Br J Urol . 1989; 63 372-374
- 37 Nurse D E, McInerney P D, Thomas P J, Mundy A R. Stones in enterocystoplasties. Br J Urol . 1996; 77 684-687
- 38 Griffith D P, Musher D M, Itin C. Urease. The primary cause of infection-induced urinary stones. Invest Urol . 1976; 13 346-350
- 39 Franco I, Levitt S B. Urolithiasis in the patient with augmentation cystoplasty: pathogenesis and management. American Urological Association Update XVII . 1997; lesson 2 10-15
- 40 Blyth B, Ewalt D H, Duckett J W, Snyder H M. Lithogenic properties of enterocystoplasty. J Urol . 1992; 148 575-577
- 41 Hollensbe D W, Adams M C, Rink R C. et al .Comparison of different gastrointestinal segments for bladder augmentation. Presented at AUA Meeting, Washington, DC; 1992
- 42 Elder J S, Snyder H M, Hulbert W C, Duckett J W. Perforation of the augmented bladder in patients undergoing clean intermittent catheterization. J Urol . 1988; 140 1159-1162
- 43 Anderson P A, Rickwood A M. Detrusor hyper-reflexia as a factor in spontaneous perforation of augmentation cystoplasty. Br J Urol . 1991; 67 210-212
- 44 Crane J M, Scherz H S, Billman G F, Kaplan G W. Ischemic necrosis: a hypothesis to explain the pathogenesis of spontaneously ruptured enterocystoplasty. J Urol . 1991; 146 141-144
- 45 Slaton J W, Kropp K A. Conservative management of suspected bladder rupture after augmentation enterocystoplasty. J Urol . 1994; 152 713-715
- 46 Stone A R, Davies N, Stephenson T P. Carcinoma associated with augmentation cystoplasty. Br J Urol . 1987; 60 236-238
- 47 Filmer R B, Spencer J R. Malignancies in bladder augmentations and intestinal conduits. J Urol . 1990; 143 671-677
- 48 Nurse D E, Mundy A R. Assessment of malignant potential of cystoplasty. Br J Urol . 1989; 64 489-492
- 49 Leedham P W, England H R. Adenocarcinoma developing in an ileocystoplasty. Br J Surg . 1973; 60 158-160
- 50 Gitlin J S, Wu X R, Sun T T, Ritchey M L, Shapino E. New concepts of histological changes in experimental augmentation cystoplasty: insights into the development of neoplastic transformation at the enterovesical and gastrovesical anastomosis. J Urol . 1999; 162 1096-1100