Risk factors for spontaneous XXXX after augmentation cystoplasty.

@entity1 @entity154 @entity4501 @entity1494 @entity5 @entity254 @entity7891 @entity340 @entity356 @entity454
OBJECTIVES: To present our experience with the use of stomach, ileum, and colon for augmentation cystoplasty to examine the incidence of, and risk factors for, spontaneous perforation. Spontaneous @entity1494 is a potentially life-threatening complication of augmentation cystoplasty with a reported incidence of up to 13%. METHODS: A retrospective review of medical records from 1988 to 2001 identified 107 @entity1 (57 males and 50 females) who underwent augmentation cystoplasty at our institution. The etiology for @entity1494 included myelomeningocele, VATER ( @entity154 , imperforate anus, @entity4501 , radial and renal dysplasia) syndrome, bladder and @entity7891 , @entity340 , and @entity5 . Thirteen @entity1 also had @entity454 . RESULTS: The median follow-up was 7.4 years. Gastrocystoplasty was performed in 50 @entity1 (47%), ileocystoplasty in 37 (35%), colocystoplasty in 18 (17%), and @entity356 in 2 (2%). Augmentation cystoplasty procedures were performed using a standard technique that included a two-layer @entity254 . Additional procedures at the time of reconstruction included Mitrofanoff neourethra in 66 @entity1 (62%) and @entity1494 repair in 44 (41%). Postoperatively, most @entity1 started a strict incremental catheterization regimen. The overall incidence of @entity1494 was 5%, with one traumatic (1%) and four spontaneous (4%) perforations. All @entity1 recovered uneventfully after exploratory laparotomy. CONCLUSIONS: We believe that the relatively low incidence of spontaneous @entity1494 encountered in this series may be explained by the large number of @entity1 with gastrocystoplasty, as well as our strict adherence to a postoperative incremental catheterization program.
