ABSTRACT
Tissue substitutes for reconstructive procedures of the urinary bladder, such as augmentation cystoplasty, are needed in a variety of acquired and congenital pediatric and adult urological diseases. Amongst the various self-tissue substitutes such as buccal mucosa, scrotal skin, pericardium, or allograft tissues, which can be used for a variety of urologic reconstructive procedures, only vascularized intestinal segments have been successful as regards reconstructive surgery of the urinary bladder (1-5). However, use of intestinal segments in urinary tract reconstruction is associated with significant potential disadvantages, including metabolic complications, complicated infections, stone and tumor formation, and a variety of surgical risks associated with bowel surgery (1). These disturbances are exaggerated in patients with compromised renal function, and in children.
