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Ileal Augmentation Cystoplasty

Bladder enlargement using detubularised ileal segment for low-capacity, high-pressure neurogenic bladder.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Ileal Augmentation Cystoplasty?

Ileal augmentation cystoplasty (also called clam ileocystoplasty) is a continent reconstructive procedure used to enlarge a small-capacity, poorly compliant bladder by anastomosing a 20-30 cm detubularised ileal segment to a sagittally bivalved bladder.

Indications include neurogenic bladder (spinal cord injury, multiple sclerosis, spina bifida) refractory to anticholinergics and intradetrusor botulinum toxin, contracted bladder due to tuberculosis, radiation cystitis or interstitial cystitis, and end-stage idiopathic detrusor overactivity.

Postoperative care requires intermittent self-catheterisation, surveillance for stones, mucus retention, urinary tract infections, electrolyte/acid-base disturbance, vitamin B12 deficiency and long-term risk of malignancy at the enterovesical anastomosis.

Symptoms

Severe urinary frequency and incontinence
High intravesical pressure and renal damage
Recurrent urinary tract infections
Hydronephrosis and reflux
Failed medical therapy and intradetrusor botulinum
Bladder contracture after pelvic radiotherapy
Severe interstitial cystitis with low capacity

Risk Factors

Spinal cord injury and neurogenic bladder
Spina bifida and meningomyelocele
Multiple sclerosis with bladder involvement
Tuberculous bladder contracture
Severe radiation cystitis
Interstitial cystitis end-stage
Refractory idiopathic detrusor overactivity

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Failed anticholinergic and botulinum therapy
  • Hydronephrosis with rising creatinine
  • Severe incontinence affecting quality of life
  • Recurrent UTI with reflux

Treatment Methods

01
Video-urodynamics and upper tract imaging
02
Bowel preparation and prophylactic antibiotics
03
Sagittal bivalving of bladder dome
04
Detubularised 20-30 cm ileal patch anastomosis
05
Indwelling Foley and suprapubic drainage
06
Postoperative intermittent self-catheterisation training
07
Long-term surveillance for stones, B12 and malignancy

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.