Open AccessAugmentation cystoplasty: Contemporary indications, techniques and complications
Author(s) -
Rajan Veeratterapillay,
Andrew Thorpe,
Chris Harding
Publication year - 2013
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/0970-1591.120114
Subject(s) - medicine , bladder augmentation , clean intermittent catheterization , refractory (planetary science) , overactive bladder , oxybutynin , bladder stones , neuromodulation , surgery , botulinum toxin , perforation , urinary system , urology , urinary bladder , physics , alternative medicine , pathology , stimulation , astrobiology , materials science , punching , metallurgy
Augmentation cystoplasty (AC) has traditionally been used in the treatment of the low capacity, poorly compliant or refractory overactive bladder (OAB). The use of intravesical botulinum toxin and sacral neuromodulation in detrusor overactivity has reduced the number of AC performed for this indication. However, AC remains important in the pediatric and renal transplant setting and still remains a viable option for refractory OAB. Advances in surgical technique have seen the development of both laparoscopic and robotic augmentation cystoplasty. A variety of intestinal segments can be used although ileocystoplasty remains the most common performed procedure. Early complications include thromboembolism and mortality, whereas long-term problems include metabolic disturbance, bacteriuria, urinary tract stones, incontinence, perforation, the need for intermittent self-catheterization and carcinoma. This article examines the contemporary indications, published results and possible future directions for augmentation cystoplasty.