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Neurourology pp 345-360 | Cite as

Augmentation Cystoplasty

  • Homero Bruschini
  • Pawan Vasudeva
  • Limin LiaoEmail author
Chapter

Abstract

The intention to create a good low pressure reservoir is fully accomplished with detubularized intestinal segment. Ileum, colon and cecum can be used. Facilities favor the use of ileum, which represent the majority of cases published. It is easy to remove, is close to the bladder and may be shaped easily into a reservoir [1]. Also, reconstitution of intestinal transit seems to be less problematic at the ileum. The intestinal segment needs to be long enough to be fashioned close to a spherical form [2, 3] and to create a volume consistent with patient’s requirements (Fig. 43.1). Care should be taken to avoid tension at the mesentery blood supply to the intestinal segment, in order to prevent ischemia. Mobilization of the segment to the bladder should always be checked before intestine excision, mainly in reoperations. Colon or ileum can either be chosen at the time of the surgery, according to this convenience.

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Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  1. 1.Department of UrologyUniversity of Sao PauloSão PauloBrazil
  2. 2.VM Medical College and Safdarjang HospitalDelhiIndia
  3. 3.Department of Urology, China Rehabilitation Research CenterCapital Medical UniversityBeijingChina

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