Autoaugmentation of urinary bladder – a case report

Abstract

Aim: To present a case of a very reduced capacity and compliance of urinary bladder in a young men who was successfully treated with bladder autoaugmentation. Case report: Thirty six years old male patient came to urology department complaining of iritative lower urinary tract symptoms. Dominant symptoms were frequency, nicturia, urgency and urge incontinence. Symptoms were so severe that patient was psychologically altered and his private and professional life suffered. After extensive workup and after failure of conservative treatment, autoaugmentation cystoplasty was performed. The postoperative course was uneventful. At the time of discharge from hospital he had frequency of four to five times daily and two times by night. Average voided volume was 400 mL. Discussion and conclusion: In selected cases, bladder autoaugmentation significantly improves quality of life in patients with reduced bladder capacity and compliance. Surgical procedure is safe and free of severe complications. Since the procedure is extraperitoneal and there is no need for use of intestinal segments, it is always possible to perform ileocystoplasty, orthotopic or supravesical urine diversion using intestinal segments.