Monday, March 11, 2013

Augmentation Cystoplasty (part 3)


Patients who are unable or unwilling to perform life-long intermittent catheterization should not undergo augmentation cystoplasty, because of the high likelihood that catheterization will ultimately be required.
In addition, patients with inflammatory bowel disease (especially Crohn disease), a short or irradiated bowel, bladder tumors, severe radiation cystitis, or severe renal insufficiency should not undergo augmentation cystoplasty.
Poor surgical candidates and patients with a short life expectancy should consider alternatives to augmentation cystoplasty, such as continued medical management or creation of a less complex, temporizing form of urinary drainage.



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