enterocystoplasty
Pronunciation: EN-ter-oh-SIS-toe-plas-tee
Surgical bladder augmentation using a segment of intestine to increase bladder capacity and reduce intravesical pressure.
Full Definition
Enterocystoplasty is a surgical procedure that involves incorporating a detubularized segment of intestine into the bladder to increase its capacity and compliance while reducing storage pressures. Common intestinal segments used include ileum (ileocystoplasty), cecum (cecocystoplasty), or sigmoid colon (sigmoidocystoplasty). This procedure is typically performed in children with small, high-pressure bladders due to neurogenic dysfunction, exstrophy-epispadias complex, or other congenital conditions. While effective for achieving continence and protecting upper urinary tract function, enterocystoplasty carries risks including metabolic acidosis, malignancy, and mucus production.
Usage
Usage note: Specify the bowel segment used when known (e.g., ileocystoplasty); distinguish from other augmentation techniques.
In Context
- "The patient underwent ileocystoplasty to improve bladder compliance and capacity." — Operative report
- "Long-term follow-up after enterocystoplasty includes monitoring for metabolic complications." — Post-operative care protocol