[Enlarged substitutive colocystoplasty for congenital neurological bladder in children. Apropos of 8 cases]. / Colocystoplastie d'agrandissement et de substitution pour vessie neurologique congénitale de l'enfant. A propos de 8 cas.

ABSTRACT

The encouraging success of replacement of the detrusor for contracted bladder due to a tuberculosis or other causes prompted an attempt to reconstruct bladder in a patient with neuropathic bladder. Colocystoplasty has been used by the authors in a total of 12 children with neurogenic bladder 8 with a sufficient follow-up (6 months to 10 years). Technical data are given with some details. The sclerosed detrusor inducing elevated bladder pressure must be resected and the sigmoid is anastomosed to the trigone of the bladder. The sigmoid conduit is extraperitonized. The new colonic bladder give ample and supply cystern allowing protection of ureters and kidneys. The incontinence is not modified. Simultaneously with colocystoplasty the patient must be managed by self-catheterization or by urinary artificial sphincter or by a continent cystostomy. The initial results are very encouraging.