Our experience with ureterocystoplasty in bilateral functional kidneys

Özet

Objective: We have reviewed the data of the patients in order to evaluate the effectiveness of our ureterocystoplasty technique in augmentation cystoplasty operation.Material and methods: Data of a total of 16 patients with bilateral functional kidneys who had undergoneaugmentation ureterocystoplasty between January 1995 and June 2018 which were retrieved during the retrospective archive scanning were included in the study. Ultrasonography (USG), serum blood urea nitrogenand creatinine values and Technetium-99 DTPA (Tc-99 DTPA) scan were used to evaluate the renal functionof the patients. Intravenous pyelography (IVP) and USG were used to evaluate the ureters before surgery.Magnetic resonance (MR) urographies were performed in our center.Results: Of the total 16 patients, 10 were male and 6 were female, while ages ranged from 1 to 24 years.Among 16 patients, the most common cause of neurogenic bladder etiology was meningomyelocele. In theurodynamic studies performed before the operation, it was determined that the bladder capacities of thepatients were between 40-180 mL and the bladder compliances were 1.0-4.0 cc/cmH2O. At postoperative3rd months, it was determined that the bladder capacities of the patients were between 180-330 mL and thebladder compliances were between 6.0-24.0 cc/cmH2O.Conclusion: Augmentation ureterocystoplasty seems to be an appropriate technique in which successfulresults are obtained with appropriate patient selection. Besides, complications that may occur due to use ofileal segment are avoided.