Enteroplasty in neurological bladders

Enteroplasty in patients with a neurological bladder still has a place in the surgical field. If conservative treatments (intermittent catheterisation, medical treatment) fail, enteroplasty should be considered in order to increase functional bladder capacity and maintain low pressure. The main objective is to preserve renal function, prevent urinary tract infections and, secondarily, ensure good urinary continence and adaptation to socio-professional life. Various digestive segments can be used for enlargement, with a preference for the ileum. It can be used alone or in conjunction with various continence or anti-reflux techniques. The most important parameter is detubulation, which prevents peristaltic waves from generating high intravesical pressure. Various digestive segments can be used to achieve enlargement, with a preference for the ileum. It can be used alone or in conjunction with various continence or anti-reflux techniques.

Autorentext

Mohamed Fourati, adjunto del hospital universitario de la Facultad de Medicina de Sfax (Túnez) y miembro de la junta directiva de la Asociación Tunecina de Urología y de la Sociedad Tunecina de Investigación sobre Sexualidad e Impotencia.