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Year : 2013  |  Volume : 29  |  Issue : 4  |  Page : 322-327

Augmentation cystoplasty: Contemporary indications, techniques and complications

Department of Urology, Freeman Hospital, Newcastle Upon Tyne, United Kingdom

Correspondence Address:
Chris Harding
Department of Urology, Freeman Hospital, Newcastle Upon Tyne, NE7 7DN
United Kingdom
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-1591.120114

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Augmentation cystoplasty (AC) has traditionally been used in the treatment of the low capacity, poorly compliant or refractory overactive bladder (OAB). The use of intravesical botulinum toxin and sacral neuromodulation in detrusor overactivity has reduced the number of AC performed for this indication. However, AC remains important in the pediatric and renal transplant setting and still remains a viable option for refractory OAB. Advances in surgical technique have seen the development of both laparoscopic and robotic augmentation cystoplasty. A variety of intestinal segments can be used although ileocystoplasty remains the most common performed procedure. Early complications include thromboembolism and mortality, whereas long-term problems include metabolic disturbance, bacteriuria, urinary tract stones, incontinence, perforation, the need for intermittent self-catheterization and carcinoma. This article examines the contemporary indications, published results and possible future directions for augmentation cystoplasty.

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