Abstract
Objective: To analyze the indications, diagnosis, and basic principles and aims of surgical reconstruction of tuberculous bladder contracture. Patients and Methods: From October 1993 to June 2006, 12 patients with severe bladder contracture due to tuberculous infection underwent augmentation cystoplasty in 3 urological institutions in Serbia. Results: All patients underwent subtotal cystectomy and bladder augmentation, using a segment of the ileum. Compliance increased from 2.72 ± 1.35 (range 0.92–4.85 ml/cm H<sub>2</sub>O) to 46.24 ± 35.44 ml/cm H<sub>2</sub>O (range 12.73–120.0 ml/cm H<sub>2</sub>O). Mean total bladder capacity increased from 180 ± 105 to 610 ± 192 ml (p < 0.001) and mean maximum detrusor pressure decreased from 79 ± 45 to 20 ± 14 cm HO. Average residual urine was 130 ml (50–220 ml). Conclusion: The presented surgical procedure is relatively easy, the compliance and the capacity of the augmented bladder are satisfactory and the complication rate is low.
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