Indications and Early and Late Results of Intestino-Cystoplasty: A Review of 185 Cases

Bladder Washout andSto ne Formation in Paediatric Enterocystoplasty

“…Many of these stones incorporated or formed in contact with the staples with a frequency of up to 52.5%. Also implicated was the presence of bacteriuria [1, 3], the use of intestinal segments [6, 7] and the chronic effect of CISC [5]. Stone formation in augmented bladders using gastric mucosa has not been reported, implicating the role of intestinal mucus in the genesis of these calculi [9].…”

Augmentation cystoplasty

“…Renal impairment may result in an inability to cope with the metabolic complications of augmentation enterocystoplasty, although few studies have addressed this in any detail. Augmentation of patients with a creatinine clearance of >15 mL/min/ 1.73 m 2 was associated with a 44% deterioration in renal function in one series [40], whilst augmentation of patients with a creatinine clearance of >40 mL/min/ 1.73 m 2 was advocated in a more recent series and was associated with only a 4.1% deterioration in renal function [41]. Whereas this may be true, many patients with neuropathic bladder dysfunction have impaired renal function because of their bladders, and correction of the bladder abnormality may slow the decline in renal function.…”

“…About 15% of patients with a creatinine clearance of o15 mL/min had deterioration [40,101] whilst only 4.1% of patients with a creatinine clearance of o40 mL/min deteriorated [41]. However, most patients have a stable renal function after augmentation and functional improvement has been noted in up to 4% [23,39].…”

Operative Behandlung urologischer Komplikationen bei chronischer Bilharziose (Schistosomum haematobium)

“…Später entwickeln sich Fibrose, Kalzifikationen, ausgedehnte Ulzera, Hyperplasien, Proliferationen der Mu kosa und «Metaplasien» [3,8,11,23,27,33,34,40]. In vielen Fällen sind Blasenfunktion und -kapazität trotz der Wandfibrose und -kalzifikation nicht beeinträchtigt [34], in anderen Fällen treten schwere Schrumpfblasen auf [3,4,8,18,22,24,27,28,34,38,40] oder Blasenhalsfibrose mit abhän giger Blasenerweiterung [1,19,28,34].…”

“…Bei S ch ru m p fb lase n u n d U re te rv erän d eru n g en k ö n n en B la se n ersatz-o d er -ergänzungsplastiken zur Anwendung kommen [9,24,[30][31][32]43] [17,18] der grosse Befürworter der ope rativen Behandlung der Abflusstörungen bei chronischer Bilharziose. 1956 publizierte er mit Honey [22] …”