Bladder augmentation and urinary diversion for neurogenic LUTS: Current indications

Kamran P. Sajadi, Howard B. Goldman

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Augmentation cystoplasty and urinary diversion are no longer commonplace in the management of patients with neurogenic bladder, but remain an important surgical treatment for those with refractory LUTS who have failed neuromodulation and onabotulinum toxin treatment or who are not candidates for those treatments. Augmentation is an option in patients who can perform intermittent catheterization and is usually performed with ileum or large intestine. Some patients benefit from continent cutaneous catherizable channels. Supravesical urinary diversion may be necessary in more severe cases. Ileovesicostomies are being supplanted by indwelling suprapubic catheters, and when catheters fail conduits may be a better option. When feasible, the diverted bladder should be excised to avoid pyocystis.

Original languageEnglish (US)
Pages (from-to)389-393
Number of pages5
JournalCurrent urology reports
Volume13
Issue number5
DOIs
StatePublished - Oct 1 2012

Keywords

  • Continent
  • Multiple sclerosis
  • Neurogenic
  • Spinal cord injury
  • Urinary bladder
  • Urinary catheterization
  • Urinary diversion
  • Urinary incontinence
  • Urinary reservoirs

ASJC Scopus subject areas

  • Urology

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