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The Current Positioning of Augmentation Enterocystoplasty in the Treatment for Neurogenic Bladder

International Neurourology Journal 2020년 24권 3호 p.200 ~ 210
정성진, 오승준,
소속 상세정보
정성진 ( Jeong Seong-Jin ) - Seoul National University Bundang Hospital Department of Urology
오승준 ( Oh Seung-June ) - Seoul National University College of Medicine Seoul National University Hospital Department of Urology

Abstract


Augmentation enterocystoplasty (AEC) is a surgical procedure in which the bladder is enlarged using an intestinal segment in patients with lower urinary tract dysfunction who fail to achieve satisfactory results with all conservative treatments. Currently, surgical materials and procedures, concomitant correction of upper urinary tract abnormalities, or bladder neck reconstruction may vary depending on the experience and preferences of the surgeons. AEC has been proven to be successful with respect to surgical goals, such as achieving urinary continence, improving quality of life, and preserving the upper urinary tract over the long term. The advantage of AEC over intravesical injection of botulinum toxin?a more recent and less invasive procedure?is that the prevention of upper urinary tract damage and the improvement of urinary incontinence are more reliably guaranteed, especially considering that these surgical effects are permanent. Compared to less invasive treatments, the quality of life of patients after surgery is also much higher, and AEC may be more cost-effective in the long run. Thus, in patients with neurogenic bladder, AEC is still the gold standard surgical procedure with strong evidence in support of its efficacy. In this article, the indications, surgical methods, possible complications, long-term follow-up, and current positioning of AEC in lower urinary tract dysfunction is discussed.

키워드

Urinary bladder; Neurogenic; Reconstructive surgical procedures; Urinary incontinence

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