Reconstruction of the urinary bladder by auto-augmentation, enterocystoplasty, and composite enterocystoplasty.

摘要: Urinary incontinence resulting from congenital abnormalities of the urinary bladder and its nerve supply is a serious disability with major impact on quality life affected children adolescents. Current clinical management centres enterocysto-plasty, reconstruction or enlargement segments bowel.1,2 The use bowel gives rise to significant complications, including mucus production, formation stones, metabolic disturbances, growth retardation probably an increased long-term risk malignancy.3 stomach overcomes some problems associated small large intestine4 but carries complications such as haema-turia/dysuria syndrome alkalosis.5,6 undesirable consequences enterocystoplasty can be attributed differences in properties epithelial linings intestine respectively. Intestinal epithelium involved secretion, digestion absorption nutrients, electrolytes water. It therefore poorly adapted replace normal urothelial lining which serves flexible watertight impermeable barrier urine.