Abstract
From January 1988 to April 1991, 15 patients with neurogenic bladder dysfunction underwent surgery for bladder augmentation using a sigmoid patch. The ages at the time of operation ranged from 3 to 18 years. The indications for bladder augmentation were urinary undiversion (3) and low compliant bladder associated with reflux or upper tract deterioration (12). Associated procedures were: 4 transureteroureterostomies (TUU), 2 ureteral taperings, 26 ureteral reimplantations, 7 bladder neck reconstructions, and 2 continent diversions. Reoperation was necessary in 2 cases: 1 with leakage of a TUU and 1 with stenosis of the reimplanted ureter. Follow-up ranged from 1 to 4 years. Mocous secretion is still present in all cases, but neither interferes with catheterization nor has it caused the formation of stones. No complications due to ventriculoperitoneal shunts have been noted and no perforation of a patch has been observed. Urinary continence improved in each case without evidence of significant hyperactivity of the patch. Enterocystoplasty with a sigmoid patch is a safe and rapid procedure; considering the clinical, radiologic, and functional results, we believe that this is the technique of choice for bladder augmentation in children with neurogenic bladder.
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Correspondence to: U. Beseghi
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Beseghi, U., Casolari, E., Del Rossi, C. et al. Enterocystoplasty with a sigmoid patch in children with neurogenic bladder dysfunction. Pediatr Surg Int 9, 82–85 (1994). https://doi.org/10.1007/BF00176118
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DOI: https://doi.org/10.1007/BF00176118