Korean J Urol.  1990 Dec;31(6):909-914.

Functional Analysis of Anti-Refluxing Augmentation Cystoplasty

Affiliations
  • 1Department of Urology, Keimyung University, School of Medicine, Taegu, Korea.

Abstract

Augmentation cystoplasty using bowel is effective method for the functional enlargement of bladder capacity in contracted bladder due to various causes. Prevention of vesicoureteral reflux after augmentation cystoplasty is still controversial but generally accepted that prevention of reflux is essential for good long term result. Therefore, antireflux augmentation cystoplasty including the use of ileocecal valve and hemi-Kock intussuscepted ileal nipple valve has been used recently for this purpose. Herein, we report the result of 3 cases of ileocecal cystoplasty and 6 cases of hemi-Kock ileocystoplasty. Hemi-Kock ileocystoplasty is better than ileocecal cystoplasty in a viewpoint of reflux prevention and continence, but complication is more common and serious in hemi-Kock ileocystoplasty than ileocecal cystoplasty. It is considered that azotemia is not contraindication for these procedures, and renal function deterioration has not been observed postoperatively.

Keyword

Augmentation cystoplasty; Anti-reflux; Contracted bladder

MeSH Terms

Azotemia
Ileocecal Valve
Nipples
Urinary Bladder
Vesico-Ureteral Reflux
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