Purpose: The role of augmentation cystoplasty in the neuropathic bladder has been well determined since clean intermittent self-catheterization (CISC) has been accepted as a treatment modality in voiding dysfunction. We present our clinical experience with sigmoid augmentation cystoplasty in children with neurogenic bladder disorder. Material and Methods: From 1991 to 1997 sigmoid augmentation cystoplasty with modified clam technique was performed in 18 cases with neuropathic bladder pathologies. In 4 cases, ureteroneocystostomy was performed, 2 of whom were bilateral. Age range of these patients was 5–17 years (mean 10.3 years) and follow-up period was from 16 to 70 months (mean 41 months). Results: Pyuria was detected in 10 cases and 2 of them were symptomatic. Clinical acidosis was detected in only 1 case. Fifteen cases (83%) were continent by using CISC with 4–6 hourly and detrusor pressure lower than 30 cm water at maximal bladder capacity. Conclusion: In children with neurogenic bladder pathologies refractory to conservative management, augmentation cystoplasty with CISC is an effective treatment modality in protecting the upper urinary tract and preventing incontinence.

Keywords:
Pediatric urology, Neurogenic bladder, Sigmoid, Cystoplasty
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© 2000 S. Karger AG, Basel
2000
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