Abstract

Bladder augmentation is indicated in patients that have failed conservative measures for poor bladder compliance, small capacity bladder, or refractory detrusor overactivity. New therapies, including intradetrusor onabotulinumtoxinA injections, have decreased the role of bladder augmentation, but in well-selected patients augmentation can lead to improved continence and quality of life. Nonetheless, complications are not uncommon following augmentation cystoplasty and include recurrent urinary tract infections, stones, metabolic disturbances, malignancy, and augment perforation. This chapter aims to assist the clinician to recognize, prevent, and manage both the short- and long-term complications of bladder augmentation.

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