S N Venn1, A R Mundy. 1. Guy's Hospital and Institute of Urology, London, UK.
Abstract
OBJECTIVES: To present the long-term results and complications of augmentation cystoplasty. METHODS: 267 patients underwent augmentation cystoplasty with a minimum follow-up of 3 years. RESULTS: Patients with neuropathic bladders had a 78% continence rate with cystoplasty alone increasing to 90% with the addition of an artificial urinary sphincter. Patients undergoing cystoplasty for detrusor instability had a 93% continence rate. The complications of this procedure include bacteriuria, absorption disorders, stones and the potential risk of malignancy. DISCUSSION: The overall results of continence with augmentation cystoplasty are excellent. Long-term follow-up is required to ensure prompt treatment of the complications.
OBJECTIVES: To present the long-term results and complications of augmentation cystoplasty. METHODS: 267 patients underwent augmentation cystoplasty with a minimum follow-up of 3 years. RESULTS:Patients with neuropathic bladders had a 78% continence rate with cystoplasty alone increasing to 90% with the addition of an artificial urinary sphincter. Patients undergoing cystoplasty for detrusor instability had a 93% continence rate. The complications of this procedure include bacteriuria, absorption disorders, stones and the potential risk of malignancy. DISCUSSION: The overall results of continence with augmentation cystoplasty are excellent. Long-term follow-up is required to ensure prompt treatment of the complications.