[Augmentation enterocystoplasty. 35 cases].

The authors report their experience of augmentation enterocystoplasty, performed in 35 patients over a 16-year period. This series consisted of 20 men (57%) and 15 women (23%) with a mean age of 45 years (18 to 69 years). The aetiologies of small bladder were urogenital tuberculosis (17 cases), vesicovaginal fistula (8 cases), urogenital schistosomiasis (4 cases), interstitial cystitis (4 cases), neurogenic bladder (2 cases). Augmentation enterocystoplasty used the ileum (26 cases), sigmoid colon (5 cases) and caecum-ileum (4 cases). Augmentation enterocystoplasty was associated with supratrigonal cystectomy (20 cases), hydraulic antireflux valve (1 case), ileoureteroplasty (2 cases) and ureterovesical reimplantation (3 cases). Three patients developed a urinary fistula. The marked mucus production was responsible for urinary retention in one patient. Three patients developed metabolic acidosis requiring alkalinization. Two patients developed ureterohydronephrosis secondary to stenosis of the ureteroneovesical junction and another two patients developed bladder stones. The objective of this study was to evaluate the results of augmentation enterocystoplasty in patients with a small bladder or neurogenic bladder.