@article {68455, title = {Laparoscopic augmentation ileocystoplasty: results and outcome.}, journal = {European urology}, volume = {55}, year = {2009}, note = {n/a}, month = {2009 Mar}, pages = {721-7}, abstract = {

BACKGROUND: Routine use of laparoscopic augmentation ileocystoplasty has not yet been established.

OBJECTIVES: To assess the outcome of laparoscopic augmentation ileocystoplasty.

DESIGN, SETTING, AND PARTICIPANTS: Twenty-three patients underwent laparoscopic augmentation ileocystoplasty for hypocompliant bladder.

INTERVENTION: Bladder dissection and reconstruction of the ileovesical anastomosis were performed laparoscopically, whereas the ileal pouch was prepared extracorporeally through a small 3- to 4-cm muscle-splitting incision.

MEASUREMENTS: Patient data, operative details, and follow-up were recorded. Urodynamic evaluation was performed preoperatively and after 12 mo, taking the bladder capacity and the maximum detrusor pressure as a measure for the outcome of the procedure.

RESULTS AND LIMITATIONS: All cases were completed laparoscopically, with a mean operative time 202 min; mean hospital stay 5 d, and mean urethral catheter duration 11 d. After 12 mo, the estimated bladder volume increased from a mean 111 ml to 788 ml (p\<0.01), whereas the maximum detrusor pressure dropped from a mean 92 cm H(2)O to 15 cm H(2)O (p\<0.01). During a mean follow-up of 39 mo, two long-term complications have been reported: bladder stone and spontaneous rupture of the augmented bladder due to neglected clean intermittent self-catheterization.

CONCLUSIONS: Laparoscopic augmentation ileocystoplasty is a safe procedure, technically feasible and with favourable urodynamic outcome.

}, keywords = {Adolescent, Adult, Child, Female, Humans, Ileum, Laparoscopy, Male, Middle Aged, Treatment Outcome, Urinary Bladder, Urinary Bladder Diseases, Urologic Surgical Procedures, Young Adult}, issn = {1873-7560}, doi = {10.1016/j.urology.2009.12.035}, author = {el-Feel, Ahmed and Abdel-Hakim, Mahmoud A and Abouel-Fettouh, Hazem and Abdel-Hakim, Amr M} }