Clinical Observation on Colocystoplasty

Rho, Yong Bok; Min, Byung Kap

Abstract

A clinical observation was made on 13 patients who had undergone augmentation colocystoplasty for contracted bladders, admitted to the Department of Urology, Chonnam University Hospital during the period from January 1977 to December 1982. The following results were obtained: 1. Of the 13 patients 8Were male and 5 were female, ranging in age from 15 to 60 years (average 31.1 years) and the prevalent age group of contracted bladder was the 3rd decade, being 46% of total. 2. The most common cause of contracted bladder was tuberculous cystitis (92%). 3. These patients were disabled severely by marked symptoms of frequency, nocturia, dysuria for 2 to 8 years (average 3.7 years) and all patients were no longer responsive to conservative management. And colocystoplasty was satisfactory procedure that produced relief of symptoms in over 90 percent of the patients. 4. The preoperative bladder capacity had contracted down 15-140ml (average 53.3ml) and the postoperative bladder capacity was increased to 90-250ml (average 148.2ml). 5. Renal function usually was preserved or more improved. 6. Additional operative procedures during cystoplasty included nephrectomy (6 cases), ureteroneocystostomy (4 cases) including ureteral tailoring (3 cases). 7. Complications were urinary tract infection (8cases) wound infection (3cases) external urinary fistula (1case), persistent urinary incontinence (1 case) and necrosis of isolated sigmoid segment (1 case).