What is the role of bladder augmentation in the treatment of bladder dysfunction?

Updated: Jan 04, 2019
  • Author: Gregory T Carter, MD, MS; Chief Editor: Elizabeth A Moberg-Wolff, MD  more...
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Answer

Bladder augmentation is performed primarily in patients with refractory hyperreflexic bladders when medical treatment has failed to alleviate symptoms. In this procedure, the bladder is opened and patched with a reconfigured segment of bowel. Augmentation also is used to achieve a normal bladder capacity in children and adolescents, often in conjunction with the artificial sphincter.

The Mitrofanoff procedure uses the appendix to create a channel between the abdominal wall and the bladder. This procedure is particularly useful in patients who are unable to reach the urethra for CIC or in patients with limited hand function as a result of SCI. In general, it is easier to manipulate clothing and pass the catheter through the umbilicus than to transfer, remove lower-extremity garments, and perform urethral CIC.


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