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Autoaugmentation gastrocystoplasty: early clinical results.

OBJECTIVE
To assess the urodynamic and clinical outcome of five patients following an autoaugmentation gastrocystoplasty.


PATIENTS AND METHODS
Four patients, two boys and two girls aged between 8 and 16 years, with a neuropathic bladder and incontinence, and one boy, aged 16 years, with an ileal conduit were included in the study. The bladder augmentation technique combined autoaugmentation and the addition of a demucosalized patch of gastric muscle to the created bladder diverticulum.


RESULTS
All patients have improved bladder function, although one may require further surgery. Three had temporary difficulty tolerating full meals.


CONCLUSIONS
This new technique seems to have a place in the management of the neuropathic bladder, but further laboratory study and cautious clinical application is required to ascertain its role in bladder augmentation.