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 patien a caecal-ileal segment was applied so that in case of a possible future pregnancy the measentery 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 stated dry between self-catheterizations. Attention is called upon the metabolic disturbances and increased risk of infection following intestinal implantations.
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Pajor, L., Koiss, I., Nagy, F. et al. Bladder augmentation with detubularized intestinal segment. International Urology and Nephrology 27, 387–394 (1995). https://doi.org/10.1007/BF02550073
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DOI: https://doi.org/10.1007/BF02550073