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Similar Publications

Long-term Survival of Bladder Augmentation is Influenced by its Shape and Mucosal Lining.

J Pediatr Surg

November 2024

Department of Paediatric Surgery and Urology, Birmingham Children's Hospital, Steelhouse Lane, Queensway, Birmingham B4 6NH, UK. Electronic address:

Introduction: Bladder augmentation in the UK has been largely by enterocystoplasty or ureterocystoplasty (UC). Ileocystoplasty can be simple patch placement (SPP), or formation of an ileal cup (IC). Urothelium is the "right" mucosa, whereas intestinal mucosa exhibits absorption, mucus production, malignancy.

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Ureterocystoplasty in Boys with Valve Bladder Syndrome-Is This Method Still up to Date?

Children (Basel)

April 2023

Department of Pediatric Urology in Cooperation with University Medical Center Regensburg, Hospital Barmherzige Brüder, Clinic St. Hedwig, 93049 Regensburg, Germany.

Boys with valve bladder syndrome (PUV) require adequate treatment of the lower urinary tract to preserve renal function and improve long-term outcomes. In some patients, further surgery may be necessary to improve bladder capacity and function. Ureterocytoplasty (UCP) is usually carried out with a small segment of intestine or, alternatively, with a dilated ureter.

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Background: The aim of this study was to describe the complication profile of augmentation cystoplasty in contemporary paediatric urology as well as its effect on bladder metrics.

Methods: Consecutive operative cases were retrospectively reviewed at a single institution over 20 years (1999-2019). Short- and long-term outcomes and complications following augmentation cystoplasty were defined.

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Article Synopsis
  • The study evaluated surgical complications, febrile urinary tract infections (UTIs), graft function, and 5-year graft survival rates in renal transplant patients who had undergone augmentation cystoplasty (AC), comparing them to those with normal urinary tracts.
  • Results showed no significant difference in surgical complications or hospital readmission between AC patients, though those with normal tracts had fewer surgical issues and febrile UTIs.
  • While patients with AC had more complications and UTI episodes, their 5-year graft survival rates were similar to the control group, suggesting that ureterocystoplasty (UC) is preferred when augmentation is necessary.
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A 4-year-old boy with posterior urethral valves and end stage kidney disease on peritoneal dialysis presented with high pressure non-compliant bladder with left ureterohydronephrosis. Inability to perform hemodialysis due to patient's weight exclusion, imposed the necessity to preserve peritoneal dialysis. A bilateral nephrectomy by retroperitoneoscopy with extraperitoneal augmentation ureterocystoplasty using left ureter and pelvis associated with continent diversion using right ureter as umbilical stoma was performed followed by kidney transplantation.

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