Browsing by Subject "bladder augmentation"

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    Long Term Sequela of Pediatric Bladder Reconstruction
    (Springer, 2015-12) Roth, Joshua; Keenan, Alison; Cain, Mark; Whittam, Benjamin; Department of Urology, IU School of Medicine
    Children with refractory neurogenic bladder (NGB) who have failed maximal medical management are presented with options for bladder reconstruction. It is critical to understand the long-term sequela of bladder augmentation and bladder neck reconstruction to properly counsel families regarding these procedures. Benefits may include preservation of renal function, continence, reduced risk of renal-related mortality, and potential improvements in quality of life (QOL). However, these advantages must be balanced with the risks of bladder calculi, perforation, need for additional surgery, acid/base disturbances, vitamin B12 deficiency, and malignancy. Therefore, careful patient selection and preoperative counseling are paramount for those undergoing bladder reconstruction which includes intestinal bladder augmentation, as these patients require lifelong vigilant follow-up.
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    Superior Mesenteric Artery Syndrome Following Augmentation Cystoplasty
    (Elsevier, 2019) Salama, Amr K.; Saad, Khalil N.; Cain, Mark P.; Urology, School of Medicine
    Superior mesenteric artery syndrome (SMAS) is a rare condition of external duodenal compression in the angle between the superior mesenteric artery and aorta. We report a case of SMAS following augmentation cystoplasty in a young patient. Superior mesenteric artery syndrome (SMAS) is a rare condition that usually presents with symptoms of upper gastrointestinal (GI) obstruction due to extrinsic compression of the third part of duodenum between the abdominal aorta posteriorly and superior mesenteric artery (SMA) anteriorly. Several predisposing factors have been described, however; severe weight loss is considered the most significant. Reduction in the angle and distance between the aorta and the SMA causes compression of the duodenum. Conservative treatment plays a major role in such cases; however, failure of such measures may warrant surgical intervention.