Korean J Urol.  1994 Sep;35(9):980-984.

Augmentation Enterocystoplasty for the Treatment of Voiding Dysfunction in Spinal Cord Injury Patients

• Choi WK
• Park WH

Abstract

We performed augmentation enterocystoplasties in 15 spinal cord injury patients for treatment of high pressure neurogenic bladder and severely contracted bladder to avoid indwelling catheter. A cup-patch technique of ileocystoplasty was used in 7 patients and Mainz pouch in 7 patients and Hemi-kock pouch in 1. In postoperative complications, urinary leakage was developed but subsided spontaneously in 2 patients and right ureteral obstruction was developed & solved by reimplantation in 1 patient. After a mean followup of 24 months 14 patients were continent with clean intermittent catheterization, but 1 patient was sometimes incontinent. All upper urinary tract remained stable or improved and the symptoms of autonomic dysrefexia and symptomatic urinary tract infection were disappeared. If a patient is able to and strongly motivated to perform intermittent self-catheterization, augmentation enterocystoplasty with clean intermittent catheterization is a reasonable option for the management of spinal cord injuries with high pressure neurogenic bladders.

Keyword

Spinal cord injury; Augmentation enterocystoplasty

MeSH Terms

Catheters, Indwelling
Follow-Up Studies
Humans
Intermittent Urethral Catheterization
Postoperative Complications
Replantation
Spinal Cord Injuries*
Spinal Cord*
Ureteral Obstruction
Urinary Bladder
Urinary Bladder, Neurogenic
Urinary Tract
Urinary Tract Infections