Editorial Comment

Abstract

This paper very nicely reviews the authors' experience with the Indiana augmentation cystoplasty (IAC) for patients with neurogenic bladder (NGB). Thirty-four patients underwent reconstruction, all of whom were unable to self-catheterize per their native urethra for a variety of reasons. In addition, 6 patients underwent a concomitant procedure (bladder neck closure, sling or artificial urinary sphincter [AUS]) to address an incompetent outlet. There are a variety of techniques (eg, Mitrofanoff, Monti, and T-limb) to construct a continent urinary stoma. There is no “best option” and surgeons should choose the technique with which they are most comfortable. The authors' comfort with this technique is evident, with a very acceptable rate of stoma revision and outstanding continence. A Modification to Augmentation Cystoplasty With Catheterizable Stoma for Neurogenic Patients: Technique and Long-term ResultsUrologyVol. 80Issue 2PreviewTo evaluate the use of a modified Indiana continent urinary reservoir, the Indiana augmentation cystoplasty (IAC), for patients with neurogenic bladder (NGB). NGB with incontinence can be devastating for patients with neurologic illness. Augmentation cystoplasty with a continent catheterizable stoma creates a continent, low-pressure storage system, with catheterizable cutaneous stoma, leading to decreased urinary tract morbidity and increased quality of life. Full-Text PDF