Functional Analysis of Anti-Refluxing Augmentation Cystoplasty.
- Author:
Sang Gyu KIM
1
;
Jong Gak PARK
;
Choal Hee PARK
;
Sung Choon LEE
Author Information
1. Department of Urology, Keimyung University, School of Medicine, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Augmentation cystoplasty;
Anti-reflux;
Contracted bladder
- MeSH:
Azotemia;
Ileocecal Valve;
Nipples;
Urinary Bladder;
Vesico-Ureteral Reflux
- From:Korean Journal of Urology
1990;31(6):909-914
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Augmentation cystoplasty using bowel is effective method for the functional enlargement of bladder capacity in contracted bladder due to various causes. Prevention of vesicoureteral reflux after augmentation cystoplasty is still controversial but generally accepted that prevention of reflux is essential for good long term result. Therefore, antireflux augmentation cystoplasty including the use of ileocecal valve and hemi-Kock intussuscepted ileal nipple valve has been used recently for this purpose. Herein, we report the result of 3 cases of ileocecal cystoplasty and 6 cases of hemi-Kock ileocystoplasty. Hemi-Kock ileocystoplasty is better than ileocecal cystoplasty in a viewpoint of reflux prevention and continence, but complication is more common and serious in hemi-Kock ileocystoplasty than ileocecal cystoplasty. It is considered that azotemia is not contraindication for these procedures, and renal function deterioration has not been observed postoperatively.
