Abstract
Bladder augmentation (also called augmentation cystoplasty) refers to a number of surgical methods that increase the capacity and compliance of the urinary bladder. Imaging has an important role in the postoperative evaluation of bladder augmentation. The most common augmentation procedures utilize enteric segments to augment the bladder. The various types of bladder augmentation have characteristic appearances on different imaging modalities. Spontaneous bladder perforation is a complication that is seen in both early and late post-operative periods and it is one of the most important complications for radiologists to be aware of as it is life-threatening. We review the indications for bladder augmentation in children, the surgical techniques employed, the normal postoperative appearances on imaging studies and the role of imaging complications of bladder augmentation including delayed spontaneous bladder rupture, which is life-threatening.
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References
Tizzoni GFA (1888) Die wiederhestellung der harnblase. Centralbl F Chir 15:921–923
Mikulicz V (1889) Zur operation der angebarenen blaßen-Spalte. Zentralbl Chir 20:641–643
Biers SM, Venn SN, Greenwell TJ (2012) The past, present and future of augmentation cystoplasty. BJU Int 109:1280–1293
Bhatnagar V, Dave S, Agarwala S et al (2002) Augmentation colocystoplasty in bladder exstrophy. Pediatr Surg Int 18:43–49
Youssif M, Badawy H, Saad A et al (2007) Augmentation ureterocystoplasty in boys with valve bladder syndrome. J Pediatr Urol 3:433–437
Awad SA, Al-Zahrani HM, Gajewski JB et al (1998) Long-term results and complications of augmentation ileocystoplasty for idiopathic urge incontinence in women. Br J Urol 81:569–573
Fromm D (1973) Ileal resection, or disease, and the blind loop syndrome: current concepts of pathophysiology. Surgery 73:639–648
Hendren WH, Hendren RB (1990) Bladder augmentation: experience with 129 children and young adults. J Urol 144:445–453, discussion 460
Husmann DA, Spence HM (1990) Current status of tumor of the bowel following ureterosigmoidostomy: a review. J Urol 144:607–610
DeFoor W, Minevich E, Reeves D et al (2003) Gastrocystoplasty: long-term followup. J Urol 170:1647–1649, discussion 1649-1650
Chadwick Plaire J, Snodgrass WT, Grady RW et al (2000) Long-term followup of the hematuria-dysuria syndrome. J Urol 164:921–923
Kaefer M, Keating MA, Adams MC et al (1995) Posterior urethral valves, pressure pop-offs and bladder function. J Urol 154:708–711
Landau EH, Jayanthi VR, Khoury AE et al (1994) Bladder augmentation: ureterocystoplasty versus ileocystoplasty. J Urol 152:716–719
Cartwright PC, Snow BW (1989) Bladder autoaugmentation: early clinical experience. J Urol 142:505–508, discussion 520-501
Cartwright PC, Snow BW (1989) Bladder autoaugmentation: partial detrusor excision to augment the bladder without use of bowel. J Urol 142:1050–1053
Atala A, Bauer SB, Soker S et al (2006) Tissue-engineered autologous bladders for patients needing cystoplasty. Lancet 367:1241–1246
Joseph DB, Borer JG, De Filippo RE et al (2013) Autologous cell-seeded biodegradable scaffold for augmentation cystoplasty: phase 2 study in children and adolescents with spina bifida. J Urol 191:1389–1395
Mitrofanoff P (1980) Trans-appendicular continent cystostomy in the management of the neurogenic bladder. Chir Pediatr 21:297–305
Monti PR, Lara RC, Dutra MA et al (1997) New techniques for construction of efferent conduits based on the Mitrofanoff principle. Urology 49:112–115
Wein AJ, Kavoussi LR, Campbell MF (2012) Urinary tract reconstruction in children. Chapter 129. In: Wein AJ, Kavoussi LR, Partin AW et al (eds) Campbell-Walsh urology, 10th edn. Elsevier Saunders, Philadelphia, p 3438
Couillard DR, Vapnek JM, Rentzepis MJ et al (1993) Fatal perforation of augmentation cystoplasty in an adult. Urology 42:585–588
Metcalfe PD, Casale AJ, Kaefer MA et al (2006) Spontaneous bladder perforations: a report of 500 augmentations in children and analysis of risk. J Urol 175:1466–1470, discussion 1470-1461
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Breen, M., Phelps, A., Estrada, C. et al. The role of imaging in pediatric bladder augmentation. Pediatr Radiol 45, 1440–1447 (2015). https://doi.org/10.1007/s00247-015-3349-1
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DOI: https://doi.org/10.1007/s00247-015-3349-1