Surgical Management of Contracted Bladder Due to Tuberculosis.
- Author:
Wun Jae KIM
1
;
Si Whang KIM
;
Young Kyoon KIM
Author Information
1. Seoul National University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
contracted bladder;
tuberculosis;
surgery
- MeSH:
Creatinine;
Felodipine;
Humans;
Tuberculosis*;
Urinary Bladder Neck Obstruction;
Urinary Bladder*;
Urinary Bladder, Neurogenic;
Urinary Diversion
- From:Korean Journal of Urology
1984;25(6):722-725
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Thirteen patients with contracted bladder due to tuberculosis who underwent surgical intervention were evaluated The most common agonizing symptom was frequency. Surgical management included augmentation cystoplasty in 8 patients and urinary diversion in 5 patients. In augmentation cystoplasty, the overall success rate of 87.5 % has been achieved in view of relief of symptom, improvement of bladder capacity and preservation of renal function. For the success of augmentation cystoplasty, creatinine clearance higher than 30 ml/min., no abnormality in selected intestinal segment, absence of uninhibited detrusor contraction or detrusor-sphincter-dyssynergia and no bladder outlet obstruction are inevitable. As an alternative, urinary diversion should be considered only in cases of severely deteriorated renal function, severely decreased bladder capacity, bladder outlet obstruction, neurogenic bladder and inapplicability of augmentation cystoplasty.
