The Long Term Results of Augmentation Cystoplasty in Contracted Bladder.
- Author:
Jeong Hyun KIM
;
Eun Chan PARK
;
Sang Eun LEE
- Publication Type:Original Article
- Keywords:
Contracted bladder;
Augmentation cystoplasty
- MeSH:
Cystitis;
Cystitis, Interstitial;
Dysuria;
Follow-Up Studies;
Humans;
Intermittent Urethral Catheterization;
Medical Records;
Nocturia;
Postoperative Complications;
Reoperation;
Retrospective Studies;
Telephone;
Urinary Bladder*;
Urinary Bladder, Neurogenic;
Urodynamics
- From:Korean Journal of Urology
2001;42(1):59-64
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: In contracted bladder of various etiologies, if many of conservative managements fail, a surgical treatment seems to be the only therapeutic approach. We tried to evaluate the long term results of aug mentation cystoplasty including the postoperative complication and the degree of satisfaction in patients. MATERIALS AND METHODS: From 1989 to 1988, augmentation cystoplasties had been performed in 11 patients with contracted bladder of various etiologies. We reviewed the patients' medical records including the result of urodynamic examinations, retrospectively. Postoperative follow-up periods were 9 to 114months (mean:61months). Patients were interviewed by telephone. RESULTS: Urinary frequency, nocturia, dysuria and suprapubic pain were improved in all patients, but dysuria persisted in one patient with tuberculous cystitis. Clean intermittent catheterization (CIC) was done in there of 11 patients due to large volume of residual urine. The volume of residual urine was 200-300ml in one with hyperreflexic neurogenic bladder, and 100-200ml in two with interstitial cystitis. Self voiding was possible in 8 patients with residual urine volume less than 90ml. Almost all patients were very satisfied symptomatically in the telephone survey. There were no significant complications which required surgical revision. CONCLUSIONS: It is concluded that augmentation cystoplasty could be an excellent method of treatment for selective patients with contracted bladder, who have not improved symtomatically by medication or conservative management.
