AUGMENTATION ENTEROCYSTOPLASTY - REPORT OF 35 CASES

The authors report their experience of augmentation enterocystoplasty, performed in 35 patients over a 16-year period. This series consisted of 20 men (57%) and 15 women (23%) with a mean age of 45 years (18 to 69 years). The aetiologies of small bladder were urogenital tuberculo sis (17 cases), vesicovaginal fistula (8 cases), urogenital schistosom iasis (4 cases), interstitial cystitis (4 cases), neurogenic bladder ( 2 cases). Augmentation enterocystoplasty used the ileum (26 cases), si gmoid colon (5 cases) and caecum-ileum (4 cases). Augmentation enteroc ystoplasty was associated with supratrigonal cystectomy (20 cases), hy draulic antireflux valve (1 case), ileoureteroplasty (2 cases) and ure terovesical reimplantation (3 cases). Three patients developed a urina ry fistula. The marked mucus production was responsible for urinary re tention in one patient. Three patients developed metabolic acidosis re quiring alkalinization. Two patients developed ureterohydronephrosis s econdary to stenosis of the ureteroneovesical junction and another two patients developed bladder stones. The objective of this study was to evaluate the results of augmentation enterocystoplasty in patients wi th a small bladder or neurogenic bladder.