Bladder reconstruction: urothelial augmentation, trauma, fistula

Abstract

Urothelial augmentation in the form of augmentation enterocystoplasty continues to be the mainstay of surgical treatment for neuropathic bladder dysfunction and detrusor instability. The outcome of the procedure is satisfactory, but a number of complications are becoming more clearly defined. Computed tomography cystography is now the investigation of choice for diagnosing bladder rupture. The indications for computed tomography cystography are discussed. The current management of enterovesical fistula is reviewed.