CYSTOPLASTY WITH SHORTENED ILEAL LOOP IN TUBERCULOUS MICROCYSTIS

Abstract

The analysis of metabolic and urodynamic disorders following augmentation ileocystoplasty (ICP) in dependence of the length of the intestinal graft was performed in 65 patients with contracted bladder due to tuberculosis (38 pts) other (27 pts) etiology. ICP with intestinal loop of 30-35 cm length was performed in 30 cases (group I), with 45-60 cm – in 35 cases (group II). Patients were examined after 15-20 days and 6-12 months after ICP. In group I ICP didn’t lead to the hyperchloremia: the mean Cl– concentration was 106,5 ± 0,8 mmol/l vs. 110,2 ± 0,6 mmol/l in group II (p < 0,05) at the early postoperative period and 106,2 ± 0,4 mmol/l vs. 109,7 ± 0,3 mmol/l (p < 0,05) after 6-12 months. After 15-20 days the base excess (BE) was -2,04 ± 0,47 in group I vs. -4,96 ± 0,54 in group II (p < 0,05). During 6-12 months follow up a significant decrease (half the size) of base deficit was registered in group I. The diumal frequency of micturition was 10,1 ± 0,4 in group I vs. 8,2 ± 0,3 in group II (p < 0,05), functional capacity of neobladder – 351,2 ± 44,5 ml and 442,5 ± 35,3 ml respectively (p < 0,05). So bladder replacement with shortened ileal loop prevents hyperchloremic acidosis without of urodynamic characteristics damage.