[Augmentation cystoplasty and/or continent urinary diversion. Review of eleven cases]

Abstract

Urinary incontinence secondary to neurogenic or malformafive bladders is a major problem influencing social insertion and has been totally transformed by bladder augmentation associated to continent urinary diversion as described by Mitroffanof. We present our experience in eleven cases and try to emphasize on three major points. Combining urinary continent diversion to bladder augmentation guarantees optimal urinary continence. Concomitant bladder neck closure is not necessary to obtain urinary continence; on the contrary, it eliminates a useful pop-off mechanism. Neocystoureterostomy is not requested for every refluxing ureter unless it could be realized on the original bladder.