“Spiral-Cap” ileocystoplasty for bladder augmentation and ur
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Augmentation cystoplasty is a technique of augmenting the urinary bladder capacity in patients with small capacity bladder. Ileocystoplasty is the procedure of augmentation of bladder with ileal segment. This article describes a new technique of “Spiral-cap Ileocystoplasty” for bladder augmentation and ureteric reimplant, wherein simultaneous bladder and lower ureteric pathologies such as stricture and/or reflux can be dealt with using the same ileal loop which is used to augment the bladder in isoperistaltic manner for lower ureteric substitution.

Methods:
Seven patients with small capacity bladder and simultaneous lower ureteric involvement operated in single tertiary care institute over the last 5 years were included in this study. Spiral-cap ileocystoplasty was used in all the patients for bladder augmentation. Proximal part of the same ileal loop was used in isoperistaltic manner for ureteric reimplantation. Distal end of this ileal loop was intussuscepted into the pouch to decrease the incidence of reflux. Detubularized distal portion of the loop was reconfigured in spiral manner to augment the native bladder. Patients were analyzed for upper tract changes, serum creatinine, bladder capacity, and requirement of clean intermittent self-catheterization in follow-up over 5 years...

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