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Augmentation Cystoplasty

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Neurourology

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Abstract

The intention to create a good low pressure reservoir is fully accomplished with detubularized intestinal segment. Ileum, colon and cecum can be used. Facilities favor the use of ileum, which represent the majority of cases published. It is easy to remove, is close to the bladder and may be shaped easily into a reservoir [1]. Also, reconstitution of intestinal transit seems to be less problematic at the ileum. The intestinal segment needs to be long enough to be fashioned close to a spherical form [2, 3] and to create a volume consistent with patient’s requirements (Fig. 43.1). Care should be taken to avoid tension at the mesentery blood supply to the intestinal segment, in order to prevent ischemia. Mobilization of the segment to the bladder should always be checked before intestine excision, mainly in reoperations. Colon or ileum can either be chosen at the time of the surgery, according to this convenience.

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Authors and Affiliations

  1. Department of Urology, University of Sao Paulo, São Paulo, SP, Brazil

    Homero Bruschini

  2. VM Medical College and Safdarjang Hospital, Delhi, India

    Pawan Vasudeva

  3. Department of Urology, China Rehabilitation Research Center, Capital Medical University, Beijing, China

    Limin Liao

Authors
  1. Homero Bruschini
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  2. Pawan Vasudeva
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  3. Limin Liao
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Correspondence to Limin Liao .

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Editors and Affiliations

  1. Department of Urology, China Rehabiliation Research Center Capital Medical University, Beijing, China

    Limin Liao

  2. Department of Urology, University Hospital, Innsbruck, Austria

    Helmut Madersbacher

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Bruschini, H., Vasudeva, P., Liao, L. (2019). Augmentation Cystoplasty. In: Liao, L., Madersbacher, H. (eds) Neurourology. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7509-0_43

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