[Creation of artificial urinary bladder in children].

In children creation of artificial urinary bladder using intestinal segments was made in the absent or reduced reservoir function of the bladder. From 1990 to 1998 enterocystoplasty was performed in 30 boys and 6 girls. 15 of them have undergone colocystoplasty, 21--ileocystoplasty with detubulized segment. Holding conduits were made of the appendix or intestinal segment in 31 patients. On postoperative day 1-16 six patients developed complications demanding emergency operation--3 cases of comissural ileus and 3 of urinary peritonitis. 33 patients were followed up for 1 to 9 years. 29 patients urinated only through catheter 3 to 6 times a day. 4 patients urinated without a catheter but they had imperative enuresis. Concrements in the artificial bladder were detected in 8 postcolocystoplasty patients and 1 postileocystoplasty patient. The preference was given to ileocystoplasty with detubulized segment with creation of the holding conduit and occlusion of the bladder neck. The ileal artificial bladder is characterized by less probable long-term complications, greater volume, low pressure at filling, less intensive mucus production.