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- W106586230 abstract "No AccessJournal of UrologyPediatric Articles1 Sep 1987Intestinocystoplasty and Total Bladder Replacement in Children and Young Adults: Followup in 129 Cases Michael E. Mitchell and Joel A. Piser Michael E. MitchellMichael E. Mitchell More articles by this author and Joel A. PiserJoel A. Piser More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)43264-2AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail A review of 129 consecutive young patients (average age 13.4 years) who underwent intestinocystoplasty or total bladder replacement during a 6½-year period at our institution is presented. The most common diagnosis was myelodysplasia and the average followup was 44 months. The clinical and urodynamic aspects of 4 types of intestinocystoplasty (ileocecal, tubular sigmoid, sigmoid patch and ileal patch) are presented. All 4 operations resulted in a significant increase in bladder volume, with a decrease in filling pressure and, thus, improved vesical compliance. In combination with clean intermittent catheterization renal function was maintained or improved in 91 per cent and urinary continence was achieved in 82 per cent of the patients. Hyperchloremic acidosis requiring therapy was noted only in patients with pre-existing renal insufficiency, although mild hyperchloremia after cystoplasty was seen with all 4 types of cystoplasty. There were no operative mortalities. Significant surgical complications occurred in 36 per cent of the patients, the most common of which was vesicoureteral reflux in the ileocecal cystoplasty. Mass unit peristaltic contractions occurred in 34 per cent of the tubular-shaped bowel segments compared to only 10 per cent of the patch segments. These peristaltic contractions contributed to the greater postoperative morbidity noted in the tubular large bowel cystoplasties. The over-all success rate for intestinocystoplasty in this series was 84 per cent. Intestinocystoplasty is an effective procedure when used to increase the compliance of the lower urinary tract. In combination with clean intermittent catheterization it can be applied successfully to patients with neurogenic bladder dysfunction. Large and small bowel seem to have similar clinical and urodynamic properties. The type of intestinal segment used for intestinocystoplasty seems to be of less importance than the size and configuration. Large bowel in its native tubular configuration should be avoided. (J. Urol., 138: 579–584, 1987) © 1987 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byScales C and Wiener J (2018) Evaluating Outcomes of Enterocystoplasty in Patients With Spina Bifida: A Review of the LiteratureJournal of Urology, VOL. 180, NO. 6, (2323-2329), Online publication date: 1-Dec-2008.Altaweel W, Jednack R, Bilodeau C and Corcos J (2018) Repeated Intradetrusor Botulinum Toxin Type A in Children With Neurogenic Bladder Due to MyelomeningoceleJournal of Urology, VOL. 175, NO. 3, (1102-1105), Online publication date: 1-Mar-2006.Lendvay T, Cowan C, Mitchell M, Joyner B and Grady R (2018) Augmentation Cystoplasty Rates at Children’s Hospitals in the United States: A Pediatric Health Information System Database StudyJournal of Urology, VOL. 176, NO. 4S, (1716-1720), Online publication date: 1-Oct-2006.GILBERT S and HENSLE T (2018) METABOLIC CONSEQUENCES AND LONG-TERM COMPLICATIONS OF ENTEROCYSTOPLASTY IN CHILDREN: A REVIEWJournal of Urology, VOL. 173, NO. 4, (1080-1086), Online publication date: 1-Apr-2005.LIMA S, ARAÚJO L and VILAR F (2018) NONSECRETORY INTESTINOCYSTOPLASTY: A 10-YEAR EXPERIENCEJournal of Urology, VOL. 171, NO. 6 Part 2, (2636-2640), Online publication date: 1-Jun-2004.DODSON J, SURER I, BAKER L, JEFFS R and GEARHART J (2018) THE NEWBORN EXSTROPHY BLADDER INADEQUATE FOR PRIMARY CLOSURE: EVALUATION, MANAGEMENT AND OUTCOMEJournal of Urology, VOL. 165, NO. 5, (1656-1659), Online publication date: 1-May-2001.RODÓ J, FARRÉ X and MARTÍN E (2018) CYCLOPHOSPHAMIDE-INDUCED HEMORRHAGIC CYSTITIS IN RATS THAT UNDERWENT COLOCYSTOPLASTY:: EXPERIMENTAL STUDYJournal of Urology, VOL. 165, NO. 2, (660-666), Online publication date: 1-Feb-2001.JEDNAK R, SCHIMKE C, BARROSO U, BARTHOLD J and GONZÁLEZ R (2018) FURTHER EXPERIENCE WITH SEROMUSCULAR COLOCYSTOPLASTY LINED WITH UROTHELIUMJournal of Urology, VOL. 164, NO. 6, (2045-2049), Online publication date: 1-Dec-2000.GROS D, DODSON J, LOPATIN U, GEARHART J, SILVER R and DOCIMO S (2018) DECREASED LINEAR GROWTH ASSOCIATED WITH INTESTINAL BLADDER AUGMENTATION IN CHILDREN WITH BLADDER EXSTROPHYJournal of Urology, VOL. 164, NO. 3 Part 2, (917-920), Online publication date: 1-Sep-2000.Leonard M, Dharamsi N and Williot P (2018) OUTCOME OF GASTROCYSTOPLASTY IN TERTIARY PEDIATRIC UROLOGY PRACTICEJournal of Urology, VOL. 164, NO. 3 Part 2, (947-950), Online publication date: 1-Sep-2000.MINGIN G, STOCK J and HANNA M (2018) GASTROCYSTOPLASTY: LONG-TERM COMPLICATIONS IN 22 PATIENTSJournal of Urology, VOL. 162, NO. 3 Part 2, (1122-1125), Online publication date: 1-Sep-1999.CARR M, DOCIMO S and MITCHELL M (2018) BLADDER AUGMENTATION WITH UROTHELIAL PRESERVATIONJournal of Urology, VOL. 162, NO. 3 Part 2, (1133-1136), Online publication date: 1-Sep-1999.KURZROCK E, BASKIN L and KOGAN B (2018) GASTROCYSTOPLASTY: LONG-TERM FOLLOWUPJournal of Urology, VOL. 160, NO. 6 Part 1, (2182-2186), Online publication date: 1-Dec-1998.EL-GHONEIMI A, MULLER C, GUYS J, COQUET M and MONFORT G (2018) FUNCTIONAL OUTCOME AND SPECIFIC COMPLICATIONS OF GASTROCYSTOPLASTY FOR FAILED BLADDER EXSTROPHY CLOSUREJournal of Urology, VOL. 160, NO. 3 Part 2, (1186-1189), Online publication date: 1-Sep-1998.Palmer L, Richards I and Kaplan W (2018) Age Related Bladder Capacity and Bladder Capacity Growth in Children With MyelomeningoceleJournal of Urology, VOL. 158, NO. 3, (1261-1264), Online publication date: 1-Sep-1997.Hochstetler J, Flanigan M and Kreder K (2018) Impaired Bone Growth After Ileal Augmentation CystoplastyJournal of Urology, VOL. 157, NO. 5, (1873-1879), Online publication date: 1-May-1997.Palmer L, Zebold K, Firlit C and Kaplan W (2018) Complications of Intravesical Oxybutynin Chloride Therapy in the Pediatric Myelomeningocele PopulationJournal of Urology, VOL. 157, NO. 2, (638-640), Online publication date: 1-Feb-1997.Poppas D, Uzzo R, Britanisky R and Mininberg D (2018) Laparoscopic Laser Assisted Auto-Augmentation of the Pediatric Neurogenic Bladder: Early Experience with Urodynamic FollowupJournal of Urology, VOL. 155, NO. 3, (1057-1060), Online publication date: 1-Mar-1996.Landau E, Jayanthi V, Khoury A, Churchill B, Gilmour R, Steckler R and Mclorie G (2018) Bladder Augmentation: Ureterocystoplasty Versus IleocystoplastyJournal of Urology, VOL. 152, NO. 2 Part 2, (716-719), Online publication date: 1-Aug-1994.Gearhart J, Canning D, Peppas D and Jeffs R (2018) Techniques to Create Continence in the Failed Bladder Exstrophy Closure PatientJournal of Urology, VOL. 150, NO. 2 Part 1, (441-443), Online publication date: 1-Aug-1993.Palmer L, Franco I, Kogan S, Reda E, Gill B and Levitt S (2018) Urolithiasis in Children Following Augmentation CystoplastyJournal of Urology, VOL. 150, NO. 2 Part 2, (726-729), Online publication date: 1-Aug-1993.Bellinger M (2018) Ureterocystoplasty: A Unique Method for Vesical Augmentation in ChildrenJournal of Urology, VOL. 149, NO. 4, (811-813), Online publication date: 1-Apr-1993.Ralph D, Woodhouse C and Ransley P (2018) The Management of the Neuropathic Bladder in Adolescents with Imperforate AnusJournal of Urology, VOL. 148, NO. 2 Part 1, (366-368), Online publication date: 1-Aug-1992.McGuire E (2018) Editorial CommentJournal of Urology, VOL. 148, NO. 2 Part 1, (368-368), Online publication date: 1-Aug-1992.Bauer S, Hendren W, Kozakewich H, Maloney S, Colodny A, Mandell J and Retik A (2018) Perforation of the Augmented BladderJournal of Urology, VOL. 148, NO. 2 Part 2, (699-703), Online publication date: 1-Aug-1992.Friedman R, Flashner S and King L (2018) Effectiveness of a Handsewn Nipple Valve for Reflux Prevention in Bladder ReconstructionJournal of Urology, VOL. 147, NO. 2, (441-443), Online publication date: 1-Feb-1992.Crane J, Scherz H, Billman G and Kaplan G (2018) Ischemic Necrosis: A Hypothesis to Explain the Pathogenesis of Spontaneously Ruptured EnterocystoplastyJournal of Urology, VOL. 146, NO. 1, (141-144), Online publication date: 1-Jul-1991.Peters C, Bolkier M, Bauer S, Hendren W, Colodny A, Mandell J and Retik A (2018) The Urodynamic Consequences of Posterior Urethral ValvesJournal of Urology, VOL. 144, NO. 1, (122-126), Online publication date: 1-Jul-1990.Hendren W and Hendren R (2018) Bladder Augmentation: Experience with 129 Children and Young AdultsJournal of Urology, VOL. 144, NO. 2 Part 2, (445-453), Online publication date: 1-Aug-1990.Mitchell M (2018) This Month in Investigative Urology: Long-Term Prospects and Problems of Continent Urinary DiversionsJournal of Urology, VOL. 143, NO. 2, (370-371), Online publication date: 1-Feb-1990.Lepor H, Mohler J, Baumann M and Shapiro E (2018) Comparison of Muscarinic Cholinergic and Alpha Adrenergic Receptors in Canine Ileum, Colon, Intestinal Urinary Reservoirs and BladderJournal of Urology, VOL. 142, NO. 1, (204-208), Online publication date: 1-Jul-1989.Thomalla J, Mitchell M, Leapman S and Filo R (2018) Renal Transplantation into the Reconstructed BladderJournal of Urology, VOL. 141, NO. 2, (265-268), Online publication date: 1-Feb-1989.Adams M, Mitchell M and Rink R (2018) Gastrocystoplasty: An Alternative Solution to the Problem of Urological Reconstruction in the Severely Compromised PatientJournal of Urology, VOL. 140, NO. 5 Part 2, (1152-1156), Online publication date: 1-Nov-1988.Elder J, Snyder H, Hulbert W and Duckett J (2018) Perforation of the Augmented Bladder in Patientsundergoing Clean Intermittent CatheterizationJournal of Urology, VOL. 140, NO. 5 Part 2, (1159-1162), Online publication date: 1-Nov-1988.Piser J, Mitchell M, Kulb T, Rink R, Kennedy H and McNulty A (2018) Gastrocystoplasty and Colocystoplasty in Canines: The Metabolic Consequences of Acute Saline and Acid LoadingJournal of Urology, VOL. 138, NO. 4 Part 2, (1009-1013), Online publication date: 1-Oct-1987. Volume 138Issue 3September 1987Page: 579-584 Advertisement Copyright & Permissions© 1987 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Michael E. Mitchell More articles by this author Joel A. Piser More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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