Abstract
Gastrocystoplasty was performed in 29 female and 14 male patients 1 to 23 years old (average age 11 years). Urodynamic studies were completed in 20 patients preoperatively and within 6 months postoperatively. When postoperative studies were compared with the preoperative evaluation, it was noted that overall capacity increased an average of 220% (range 20 to 750%). Compliance also improved dramatically postoperatively. Bladder pressures increased from a mean volume of 34% of capacity preoperatively to 73% of the post-augment capacity. The average maximum filling pressure decreased by 32%, from 57 to 39 cm. water. Uninhibited contractions resolved completely in 6 of 10 patients who had them preoperatively. No one had uninhibited contractions postoperatively. Cyclical contractions of the stomach segment not exceeding 50 cm. water developed in 6 patients. The gastric patch seems to be an adequate source for improving the dynamics of a poorly functioning detrusor muscle in most patients. When a diamond-shaped patch of stomach is harvested and added to the bladder a spherical configuration is created, enhancing the storage properties. This result is in sharp contrast to other bowel segments, which must be detubularized to produce a suitable reservoir. The long-term effects of gastric augmentation remain to be determined.
| Original language | English |
|---|---|
| Pages (from-to) | 1099-1102 |
| Number of pages | 4 |
| Journal | Journal of Urology |
| Volume | 149 |
| Issue number | 5 |
| State | Published - Jan 1 1993 |
| Externally published | Yes |
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Keywords
- bladder diseases
- stomach
- urodynamics
ASJC Scopus subject areas
- Urology
Cite this
The effect of gastric augmentation on bladder function. / Atala, A.; Bauer, S. B.; Hendren, W. H.; Retik, A. B.
In: Journal of Urology, Vol. 149, No. 5, 01.01.1993, p. 1099-1102.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The effect of gastric augmentation on bladder function
AU - Atala, A.
AU - Bauer, S. B.
AU - Hendren, W. H.
AU - Retik, A. B.
PY - 1993/1/1
Y1 - 1993/1/1
N2 - Gastrocystoplasty was performed in 29 female and 14 male patients 1 to 23 years old (average age 11 years). Urodynamic studies were completed in 20 patients preoperatively and within 6 months postoperatively. When postoperative studies were compared with the preoperative evaluation, it was noted that overall capacity increased an average of 220% (range 20 to 750%). Compliance also improved dramatically postoperatively. Bladder pressures increased from a mean volume of 34% of capacity preoperatively to 73% of the post-augment capacity. The average maximum filling pressure decreased by 32%, from 57 to 39 cm. water. Uninhibited contractions resolved completely in 6 of 10 patients who had them preoperatively. No one had uninhibited contractions postoperatively. Cyclical contractions of the stomach segment not exceeding 50 cm. water developed in 6 patients. The gastric patch seems to be an adequate source for improving the dynamics of a poorly functioning detrusor muscle in most patients. When a diamond-shaped patch of stomach is harvested and added to the bladder a spherical configuration is created, enhancing the storage properties. This result is in sharp contrast to other bowel segments, which must be detubularized to produce a suitable reservoir. The long-term effects of gastric augmentation remain to be determined.
AB - Gastrocystoplasty was performed in 29 female and 14 male patients 1 to 23 years old (average age 11 years). Urodynamic studies were completed in 20 patients preoperatively and within 6 months postoperatively. When postoperative studies were compared with the preoperative evaluation, it was noted that overall capacity increased an average of 220% (range 20 to 750%). Compliance also improved dramatically postoperatively. Bladder pressures increased from a mean volume of 34% of capacity preoperatively to 73% of the post-augment capacity. The average maximum filling pressure decreased by 32%, from 57 to 39 cm. water. Uninhibited contractions resolved completely in 6 of 10 patients who had them preoperatively. No one had uninhibited contractions postoperatively. Cyclical contractions of the stomach segment not exceeding 50 cm. water developed in 6 patients. The gastric patch seems to be an adequate source for improving the dynamics of a poorly functioning detrusor muscle in most patients. When a diamond-shaped patch of stomach is harvested and added to the bladder a spherical configuration is created, enhancing the storage properties. This result is in sharp contrast to other bowel segments, which must be detubularized to produce a suitable reservoir. The long-term effects of gastric augmentation remain to be determined.
KW - bladder diseases
KW - stomach
KW - urodynamics
UR - http://www.scopus.com/inward/record.url?scp=0027210456&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0027210456&partnerID=8YFLogxK
M3 - Article
C2 - 8483221
AN - SCOPUS:0027210456
VL - 149
SP - 1099
EP - 1102
JO - Journal of Urology
JF - Journal of Urology
SN - 0022-5347
IS - 5
ER -