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.