URETEROCYSTOPLASTY - THE BLADDER AUGMENTATION OF CHOICE

Objective To reduce the complications of enterocystoplasty by augmenti ng the bladder with a megaureter. Patients and methods Ureterocystopla sty was performed in eight children aged 20 months-15 years. Three had impaired renal function and three were in established chronic polyuri c renal failure. Results The seven older children were dry by day with clean intermittent catheterization and the youngest, at the age of 31 /2 years, had a dry interval of 2 h after catheterization. The three c hildren with polyuric renal failure required nocturnal catheterization or were wet at night. The post-operative urodynamics showed a signifi cant improvement in all cases with abolition of detrusor instability i n seven patients and a reduction in end filling pressure. Bladder Volu me increased from a mean of 100 ml (range 45-215) to 311 ml (range 150 -450) (P = 0.01). There was no deterioration in renal function. Conclu sion The early results of ureterocystoplasty compare favourably with t hose of enterocystoplasty without the risks of long-term metabolic and neoplastic complications.