Aragona F, di Tonno F, Prayer-Galetti T, Maio G, Ostardo E, Passerini Glazel G
Institute of Urology, University of Padua, Italy.
Child Nephrol Urol. 1990;10(1):39-43.
A contracted noncompliant bladder is an infrequent but severe complication of cutaneous ureterostomy. Recently, we effected a significant increase in bladder capacity by long-term, gentle hydraulic dilation with saline solution plus an anticholinergic drug (emepronium bromide). Based on this experience, we suggest a conservative approach like this before electing a patient for bladder augmentation or permanent diversion for any child with vesical contracture.