Abstract
Eighteen patients underwent augmentation `clam' cystoplasty over a three-year period. All patients had urodynamic proven detrusor instability, which was refractory to conservative management. Fifteen of the patients are dry and appliance free. We performed more operations than have been reported in previous studies from other hospitals serving a similar population. Clam cystoplasty is an operation with an excellent outcome, which should be offered to patients with detrusor instability refractory to conservative management.
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Mikulicz J. Zur Operation der augeborenen Blasenspalte. Zentrabl Chir 1889; 26: 641.
Yeates WK. A technique of ileocystoplasty. Br J Urol 1956; 28: 410–413.
Schmidbauer CP, Chiang H, Raz S. The impact of detubularisation on ileal reservoirs. J Urol 1987; 138: 1440–1445.
Venn SN, Mundy AR. Long-term results of augmentation cystoplasty. Eur Urol 1998; 34 (suppl 1): 40–42.
Mundy AR, Stephenson TP. ‘Clam’ ileocystoplasty for the treatment of refractory urge incontinence. Br J Urol 1985; 57: 641–646.
Lapides J, Diokono AC, Silber SJ, Lowe BS. Clean intermittent self-catheterisation in the treatment of urinary tract disease. J Urol 1972; 107: 458–461.
Webb RJ, Lawson AL, Neal DE. Clean intermittent self-catheterisation in adults. Br J Urol 1990; 64: 150–154.
Sethia KK, Webb RJ, Neal DJ. A urodynamic study of ileocystoplaty in the treatment of idiopathic detrusor instability. Br J Urol 1991; 67: 286–290.
Murray KHA, Nurse DE, Mundy AR. Secretomotor function of intestinal segments used in lower urinary tract reconstruction. Br J Urol 1987; 60: 532–535.
Nurse DE, McInernery PD, Thomas PJ, Mundy AR. Stones in enterocystoplasties. Br J Urol 1996; 77: 684–687.
George VK, Russell GL, Shutt CG et al. Claim ileocystoplasty. Br J Urol 1991; 68: 487–489.
Bramble FJ. The clam cystoplasty. Br J Urol 1990; 66: 337–341.
Mundy AR, Nurse DE. Calcium balance, growth and skeletal mineralisation in patients with cystoplasties. Br J Urol 1988; 140: 853–855.
Stone AR, Davies N, Stephenson TP. Carcinoma associated with augmentation cystoplasty. Br J Urol 1987; 60: 236–238.
Carr LK, Herschorn S. Early development of adenocarcinoma in a young woman following augmentation cystoplasty for unidiversion. Br J Urol 1997; 157: 2255–2256.
Woodhouse CRJ. Reconstruction of the lower urinary tract for neurogenic bladder: lessons from the adolescent age group. Br J Urol 1992; 69: 589–593.
Lewis DK, Morgan JR, Weston PMT, Stephenson TP. The ‘clam’: indications and complications. Br J Urol 1990; 65: 488–491.
Ulmsten U, Johnson P, Petros P. Intravaginal slingplasty. Zentralbl Gynakol 1994; 116(7): 398–404.
Ulmsten U, Falconer C, Johnson P et al. A multicentre study of tension-free vaginal tape (TVT) for surgical treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 1998; 9(4): 210–213.
Kockelbergh RC, Tan JBL, Bates CP et al. Clam enterocystoplasty in general unrological practice. Br J Urol 1991; 68: 38–41.
Feneley RCL, Shepherd AM, Powell PH, Blannin J. Urinary incontinence: prevalence and needs. Br J Urol 1979; 51: 493–496.
Norton P, MacDonald L, Sedgewick P, Stanton SL. Distress and delay associated with urinary incontinence, frequency and urgency in women. Br Med J 1988; 297: 1187–1189.
Herschorn S, Hewitt RJ. Patient perspective of long-term outcome of augmentation cystoplasty for neurogenic bladder. Urology 1998; 52: 672–678.
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Ivil, K., Suresh, G. Review of augmentation `clam' cystoplasy in a district general hospital setting. Int Urol Nephrol 34, 129–132 (2002). https://doi.org/10.1023/A:1021339030814
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DOI: https://doi.org/10.1023/A:1021339030814