Review of augmentation 'clam' cystoplasy in a district general hospital setting.

Eighteen patients underwent augmentation 'clam' cystoplasty over a three-year period. All patients had urodynamic proven detrusor instability, which was refractory to conservative management. Fifteen of the patients are dry and appliance free. We performed more operations than have been reported in previous studies from other hospitals serving a similar population. Clam cystoplasty is an operation with an excellent outcome, which should be offered to patients with detrusor instability refractory to conservative management.