bladder augmentation
Surgical procedure that increases bladder capacity by adding bowel tissue to create a larger, more compliant bladder reservoir.
Full Definition
Bladder augmentation, also known as augmentation cystoplasty, is a reconstructive surgical procedure performed in children with small, poorly functioning bladders. The procedure involves opening the bladder and sewing in a patch of intestine (usually ileum or colon) to increase storage capacity and reduce pressure. This surgery is typically reserved for children with neurogenic bladder, bladder exstrophy, or other conditions causing dangerous bladder pressures that threaten kidney function. Post-operative management requires lifelong clean intermittent catheterization and monitoring for complications such as metabolic acidosis, mucus production, and malignancy risk.
Usage
Usage note: Often abbreviated as 'augment' in clinical notes; distinct from simple bladder reconstruction procedures.
In Context
- "Bladder augmentation was recommended to protect kidney function in this patient with high-pressure neurogenic bladder." — Pediatric urology surgical consultation
- "Long-term follow-up after bladder augmentation includes annual endoscopic surveillance for malignancy." — Post-operative care protocol