Our institutional experience with bowel segments in bladder disorders

R.Gopi Saravanan., K.Saravanan., Govindarajan., R.Jayaganesh and V.Ezhil Sundar

Introduction: Reconstructive urologic surgery frequently requires the use of bowel
for bladder augmentation. The stomach, jejunum, ileum and colon all have a role in bladder reconstruction (1).

Materials And Methods: Bladder reconstruction with bowel segments was performed in ten patients in our institution between January 2015 to June 2016. We investigated the indications, methods of reconstruction as well as the postoperative complications and clinical outcomes.

Results: Out of 10 cases, ureter transverse colon anastomosis was done for carcinoma cervix with post hysterectomy & post radiotherapy status with vesicovaginal fistulae in 4 patients and augmentation cystoplasty was done for genitourinary tuberculosis in 6 patients.

Conclusion: Usage of bowels in various bladder reconstructive procedures is proved to be safe and effective with minimal morbidity and mortality. Careful patient selection can significantly prolong survival.

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DOI: http://dx.doi.org/10.24327/ijcar.2017.3674.0344