Evaluation of Augmentation Cystoplasty Procedures Used in Ain Shams University during Ten Years Duration

Abstract

The main concerns in the management of significant anatomical or functional urinary tract abnormalities in the pediatric age group is to preserve the renal functions followed by offering a socially accepted continence or dry status and lastly the future of the child as an adult regarding the sexual and reproductive abilities. Augmentation cystoplasty is indicated for treatment of low bladder compliance and reduced bladder capacity secondary to infectious, inflammatory, neurogenic and congenital disorders. The aim of present thesis was to evaluate the results of augmentation cystoplasty techniques as a treatment of hypocompliant bladder and the most common complication arising. Twenty cases were chosen for this study, within pediatric age group. The cases were chosen according to some inclusion & exclusion criteria. Ileocystoplasty was by far the most commonly used operative modality. Long term follow up is still needed to judge the complications of the techniques used in this study. The results were discussed and confronted with those of previous investigators. Key words: augmentation cystoplasty, Neurogenic Bladder,Vesico ureteral Reflux,Urodynamics.

Introduction