Long-term results of augmentation cystoplasty.

OBJECTIVES

To present the long-term results and complications of augmentation cystoplasty.

METHODS

267 patients underwent augmentation cystoplasty with a minimum follow-up of 3 years.

RESULTS

Patients with neuropathic bladders had a 78% continence rate with cystoplasty alone increasing to 90% with the addition of an artificial urinary sphincter. Patients undergoing cystoplasty for detrusor instability had a 93% continence rate. The complications of this procedure include bacteriuria, absorption disorders, stones and the potential risk of malignancy.

DISCUSSION

The overall results of continence with augmentation cystoplasty are excellent. Long-term follow-up is required to ensure prompt treatment of the complications.