Long-Term Sequela of Pediatric Bladder Reconstruction

Joshua Roth, Alison Keenan, Mark Cain, Benjamin Whittam

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)419-426
Number of pages8
JournalCurrent Bladder Dysfunction Reports
Volume10
Issue number4
DOIs
StatePublished - Dec 1 2015

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Keywords

  • Bladder augmentation
  • Neurogenic bladder
  • Pediatric

ASJC Scopus subject areas

  • Biochemistry
  • Molecular Biology

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