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Current Bladder Dysfunction Reports

, Volume 10, Issue 4, pp 419–426 | Cite as

Long-Term Sequela of Pediatric Bladder Reconstruction

  • Joshua Roth
  • Alison Keenan
  • Mark Cain
  • Benjamin WhittamEmail author
Reconstructed Bladder Function & Dysfunction (M Kaufman, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Reconstructed Bladder Function & Dysfunction

Abstract

Children with refractory neurogenic bladder (NGB) who have failed maximal medical management are presented with options for bladder reconstruction. It is critical to understand the long-term sequela of bladder augmentation and bladder neck reconstruction to properly counsel families regarding these procedures. Benefits may include preservation of renal function, continence, reduced risk of renal-related mortality, and potential improvements in quality of life (QOL). However, these advantages must be balanced with the risks of bladder calculi, perforation, need for additional surgery, acid/base disturbances, vitamin B12 deficiency, and malignancy. Therefore, careful patient selection and preoperative counseling are paramount for those undergoing bladder reconstruction which includes intestinal bladder augmentation, as these patients require lifelong vigilant follow-up.

Keywords

Bladder augmentation Neurogenic bladder Pediatric 

Notes

Compliance with Ethics Guidelines

Conflict of Interest

Joshua Roth, Alison Keenan, Mark Cain, and Benjamin Whittam declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Joshua Roth
    • 1
  • Alison Keenan
    • 2
  • Mark Cain
    • 1
  • Benjamin Whittam
    • 1
    Email author
  1. 1.Division of Pediatric Urology, Riley Hospital for ChildrenIndiana University HealthIndianapolisUSA
  2. 2.Division of Pediatric UrologyUniversity of Wisconsin School of Medicine and Public HealthMadisonUSA

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