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KMID : 0358319960370121367
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Korean Journal of Urology
1996 Volume.37 No. 12 p.1367 ~ p.1374
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Evaluation of the Augmentation Cystoplasty in the Pediatric Neurogenic Bladder
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전성수
이해원/정정윤/박관현/이규성/김광명/최 황
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Abstract
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From 1985 to 1995, 13 children with neurogenic bladder underwent augmentation cystoplasty. Diagnosis in these 13 children included menkingomyelocele in 11 and unknown origin in 2. Indications for augmentation cystoplasty were persistent
incontinence in
6 patients and progressive upper urinary tract deterioration in 10. Bowel segments were used for augmentation included sigmoid colon in 1 patient, ileocecal segments in 1, ileum only in 7 and stomach in 3. Dilated ureter also was used in 1
patient.
Postoperatively, all the patients have stable upper tracts radiographically and stable or improved renal function. Of 13 patients k12 require clean intermittent catheterization to empty bladder and 10 are completely continent. After operation,
bladder
capacity increased from 155 mlto 305 ml and there were significant increases in bladder compliance. Hypereflexia was present in 5 patients before operation and in 3 patients after operation. There has been no surgical mortality. Postoperative
complications occurred in 4 patients included mild ileus in 2 kkkpatients, mucus obstruction in 1, mild hematuria in 1, metabolic alkalosis in 1 and superficial wound infection in 1. All complications were transient and managed medically. The
kinds
of
bowel segments did not seem to influence results.
We think that augmentation cystoplasty is a theraplasty is a therapeutic modality that should be considered as a viable treatment option in selected patients with neurogenic bladder dysfunction.
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