Clam Ileo-Cystoplasty, ileocystoplasty, clam cystoplasty, or bladder augmentation, enterocystoplasty скачать в хорошем качестве

Clam Ileo-Cystoplasty, ileocystoplasty, clam cystoplasty, or bladder augmentation, enterocystoplasty

Here’s a comprehensive overview of Clam Ileo-Cystoplasty, also known as clam cystoplasty, ileocystoplasty, enterocystoplasty, or simply bladder augmentation. These terms refer to a group of surgical procedures designed to increase bladder capacity and reduce bladder pressure, especially in patients with severe bladder dysfunction. 🧠 What Is It? Clam ileocystoplasty is a type of bladder augmentation surgery where a segment of the small intestine (usually ileum) is used to expand the bladder. The term "clam" refers to the way the bladder is surgically opened—like a clam shell—and then patched with bowel tissue. 🩺 Indications This procedure is typically reserved for patients with: Neurogenic bladder (e.g., spinal cord injury, spina bifida) Detrusor overactivity unresponsive to medications or botulinum toxin Low bladder compliance causing high pressure and risk to kidneys Interstitial cystitis or painful bladder syndrome (in select cases) Bladder exstrophy or congenital anomalies ⚙️ Surgical Technique Bladder is bisected sagittally (clam-style). A segment of ileum is harvested and detubularized. The ileal patch is sewn into the bladder to increase volume and reduce pressure. In some cases, a continent catheterizable stoma (e.g., Mitrofanoff) may be added. ✅ Benefits Increased bladder capacity Reduced bladder pressure Protection of upper urinary tract Improved continence Reduced need for frequent catheterization ⚠️ Complications Mucus production from bowel segment Urinary tract infections Bladder stones Metabolic disturbances (e.g., acidosis) Need for intermittent catheterization Risk of malignancy in long-term (rare but monitored) 🔍 Follow-Up Care Regular bladder scans and urodynamic studies Monitoring for infections and electrolyte imbalances Lifelong surveillance in some cases 🧭 Availability in Nigeria This is a highly specialized procedure typically performed in tertiary urology centers. In Edo State, you may inquire at: University of Benin Teaching Hospital (UBTH) #Bladder