ABSTRACT
Augmentation cystoplasty and continent urinary diversion have greatly improved the quality of life for many children and adults who lack a compliant bladder in which to store an adequate volume of urine.1 In achieving this goal, bladder induced renal dysfunction can be alleviated and socially acceptable continence achieved. Since the first reported augmentation of a human bladder in 1898, much has been learned regarding the advantages and limitations of, and alternatives to, various forms of bladder augmentation.2 The use of stomach for bladder reconstruction was first conceptualized 40 years ago by Sinaiko who showed that in dogs gastric urinary pouches secreted acid in response to meals and that such acidic urine was bacteriostatic.3 This chapter describes the indications for and technique of gastrocystoplasty as well as the unique advantages and disadvantages of this procedure.
