Abstract
The article presents a comparison of long term outcomes in 32 patients after gastrocystoplasty (15) and ileocystoplasty (17) performed during 1990-2006 (with a mean follow-up time was 15.2 years ). Primary diagnosis was neurogenic bladder and exstrophy/epispadias complex.
Long-term outcomes of ICPL and GCPL are comparable, bladder capacity increased and intravesical pressure decreased significantly, complete urinary continence was achieved in 65% of patients depending on additional procedures. We have achieved satisfactory functional results despite significant morbidity which was slightly higher in the GCPL group.
No malignant bladder tumors were detected during the follow-up period. Annual cystoscopy has been recommended starting at 10 years after augmentation, risk of malignancy in discussed according to a detailed search of literature.