Enterocystoplasty vs Detrusorectomy: Outcome in the Adult with Spina Bifida

Abstract

In this series of 47 patients long-term outcomes were good after enterocystoplasty and detrusorectomy, although bladder volume exhibited a greater increase in the enterocystoplasty group. No differences were observed among the other outcomes. If preoperative bladder volume is sufficient, detrusorectomy can be considered before enterocystoplasty is done.

Current Surgical Treatment for Neurogenic Lower Urinary Tract Dysfunction in Patients with Chronic Spinal Cord Injury

“…A total of 83% of patients no longer had VUR, and 10% of patients showed improvement in VUR [ 17 ]. Urinary continence can be achieved in 90% of patients [ 18 , 19 , 20 , 21 ]. Furthermore, symptomatic UTI was reduced and autonomic dysreflexia improved in most patients after AC [ 22 ].…”

“…The best outcome of bladder auto-augmentation could be expected in patients with NLUTD with a fair bladder capacity but poor bladder compliance [ 21 ]. However, because the presence of secondary fibrosis and the healing process of the divided detrusor muscle might occur, auto-augmentation yielded limited long-term improvement in the maximum cystometric capacity, maximum detrusor pressure, and bladder compliance compared to AC [ 42 ].…”

“…However, because the presence of secondary fibrosis and the healing process of the divided detrusor muscle might occur, auto-augmentation yielded limited long-term improvement in the maximum cystometric capacity, maximum detrusor pressure, and bladder compliance compared to AC [ 42 ]. Additionally, the effectiveness of auto-augmentation in the long-term is not as high as AC, with a repeat of the AC procedure being required for 15–45% of patients [ 21 , 43 , 44 , 45 ].…”