Bilharzial contracted bladder treated by ileocystoplasty

Reduction in the incidence of stress incontinence complicating fistula repair

“…Tissue destruction per se may cause considerable bladder contraction associated with urinary frequency and incontinence, as noted by Lawson (1967) and Gray (1970). The present authors had previously encountered cases of gross vesical contraction caused by bilharziasis which resulted in urinary incontinence (Hassim et al, 1968). The patients responded t o an increase in bladder capacity by the utilization of an isolated segment of ileum.…”