Augmentation cystoplasty

Augmentation cystoplasty is increasing the bladder volume using a segment of intestine.

• augmentation cystoplasty using an intestinal segment is considered for people:
  • with non-progressive neurological disorders and
  • complications of impaired bladder storage (for example, hydronephrosis or incontinence) and
  • only after a thorough clinical and urodynamic assessment and discussion with the patient and/or their family members and carers about complications, risks and alternative treatments
• life-long follow-up should be offered after augmentation cystoplasty because of the risk of long-term complications. Potential complications include metabolic effects, such as the development of vitamin B12 deficiency and the development of bladder cancer

Reference:

• 1) NICE (August 2012). Urinary incontinence in neurological disease - Management of lower urinary tract dysfunction in neurological disease