Laparoscopic Augmentation Cystoplasty With or Without Continent Stoma Formation

Purpose: We report our techniques and outcomes for laparoscopic enterocystoplasty using various bowel segments. Method: A total of 17 patients with reduced bladder capacities due to neurogenic causes underwent laparoscopic augmentation enterocystoplasty with or without continent stoma formation. The bladder was mobilized and opened in the transverse direction for direct anastomosis with the appropriate bowel segment. All the steps were performed intracorporeally except for preparation of the bowel segment and establishment of the bowel continuity. Results: Blood loss was minimal, and there were no major postoperative complications. Conclusion: We conclude that laparoscopic enterocystoplasty is safe and effective and appears to be a first-line alternative to open enterocystoplasty approaches.