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1078 Laparoscopic augmentation ileocystoplasty: Urodynamic findings and long-term outcome
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e1078 Laparoscopic augmentation ileocystoplasty: Urodynamic findings and long-term outcome Abdelhakiem M., Abdalla A., El Feel A., Abdelhakiem A. Cairouniversity, Dept. of Urology, Cairo, Egypt INTRODUCTION & OBJECTIVES: To evaluate the outcome of laparoscopic augmentation ileocystoplasty, particularly for its long-term results. MATERIAL & METHODS: A total number of 49 patients underwent laparoscopic augmentation ileocystoplasty for hypocompliant and/or contracted bladder. The patients aged 29±14 years with a body mass 2
index of 22.6±1.8 Kg/m . The operation is composed of 3 basic steps; (1) laparoscopic dissection of the bladder, (2) preparation of the ileum extracorporeally through a small 3 – 4 cm muscle splitting incision; and (3) reintroduction of the ileal pouch to do the ileo-vesical anastomosis laparoscopically. Patients were followed up for a period of 39±20 months, by cystogram done after one and 12 months, urodynamics done after 12 months. RESULTS: Mean operative time was 190±50 min with a mean blood loss 2O to reach 15±4 cm H O (p= <0.01). During the follow up period 2
(mean 39±20 months), we have recorded 2 long-term complications; multiple bladder stones that was managed by cystolithotomy; and a spontaneous rupture of the augmented bladder due to neglected clean intermittent self-catheterization that was managed by exploration and repair of the ruptured pouch. CONCLUSIONS: Laparoscopic augmentation ileocystoplasty is safe and technically feasible, with long-term results that are comparable to those reported for an open augmentation ileocystoplasty making it a potential alternative in carefully selected patients.
file://F:\RamShankar\April\04-05-12\Cip\Sour\1078.html
4/7/2012
e1078 Laparoscopic augmentation ileocystoplasty: Urodynamic findings and long-term outcome Abdelhakiem M., Abdalla A., El Feel A., Abdelhakiem A. Cairouniversity, Dept. of Urology, Cairo, Egypt INTRODUCTION & OBJECTIVES: To evaluate the outcome of laparoscopic augmentation ileocystoplasty, particularly for its long-term results. MATERIAL & METHODS: A total number of 49 patients underwent laparoscopic augmentation ileocystoplasty for hypocompliant and/or contracted bladder. The patients aged 29±14 years with a body mass 2
index of 22.6±1.8 Kg/m . The operation is composed of 3 basic steps; (1) laparoscopic dissection of the bladder, (2) preparation of the ileum extracorporeally through a small 3 – 4 cm muscle splitting incision; and (3) reintroduction of the ileal pouch to do the ileo-vesical anastomosis laparoscopically. Patients were followed up for a period of 39±20 months, by cystogram done after one and 12 months, urodynamics done after 12 months. RESULTS: Mean operative time was 190±50 min with a mean blood loss 2O to reach 15±4 cm H O (p= <0.01). During the follow up period 2
(mean 39±20 months), we have recorded 2 long-term complications; multiple bladder stones that was managed by cystolithotomy; and a spontaneous rupture of the augmented bladder due to neglected clean intermittent self-catheterization that was managed by exploration and repair of the ruptured pouch. CONCLUSIONS: Laparoscopic augmentation ileocystoplasty is safe and technically feasible, with long-term results that are comparable to those reported for an open augmentation ileocystoplasty making it a potential alternative in carefully selected patients.
file://F:\RamShankar\April\04-05-12\Cip\Sour\1078.html
4/7/2012