Korean J Urol.  1984 Dec;25(6):722-725.

Surgical Management of Contracted Bladder Due to Tuberculosis

Affiliations
  • 1Seoul National University, Seoul, Korea.

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.

Keyword

contracted bladder; tuberculosis; surgery

MeSH Terms

Creatinine
Felodipine
Humans
Tuberculosis*
Urinary Bladder Neck Obstruction
Urinary Bladder*
Urinary Bladder, Neurogenic
Urinary Diversion
Creatinine
Felodipine
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