Author:
Yang Chao,Chen Xin,Wang Yi,Fang Lu,Sun Wei,Bi Liangkuan,Yu Dexin
Abstract
Abstract
Objectives
To investigate the safety and efficacy of complete laparoscopic ileal augmentation cystoplasty for the treatment of low bladder capacity and compliance.
Methods
The clinical data of 13 patients with low bladder capacity and compliance were retrospectively analyzed. Therapeutic efficacy was evaluated at follow-up. The Clavien system was used to evaluate the severity of postoperative complications.
Results
All 13 operations were successfully completed laparoscopically. The operation duration was 140–248 min (average: 189.9 ± 29.6 min), the time to postoperative recovery of bowel function was 1–10 days (average: 2.9 ± 2.3 days). There were 4 cases of grade I complications and 1 case of grade II complications (i.e., paralytic ileus caused by urinary leakage from the anastomosis of the augmented bladder). Cystography showed that the morphology of the bladder was close to normal, and the maximum safe capacity and compliance of the bladder were significantly increased [103.8 ± 16.6 mL and 332.3 ± 20.5 mL, p < 0.01; 7.0 ± 1.3 mL/cm H2O and 32.4 ± 2.1 mL/cm H2O, p < 0.01]. All patients were able to urinate spontaneously after catheter removal.
Conclusions
Complete laparoscopic ileal augmentation cystoplasty is a safe and feasible treatment for low bladder capacity and compliance, and has the advantages of less trauma, less bleeding, faster recovery of intestinal function, and fewer postoperative complications. This treatment effectively increases bladder capacity, protects upper urinary tract function, and improves patient quality of life, and thus warrants clinical application.
Funder
National Natural Science Foundation of China
Publisher
Springer Science and Business Media LLC
Subject
Urology,Reproductive Medicine,General Medicine