ABSTRACT

Overactive bladder syndrome,1 defined as a symptom complex suggestive of lower urinary tract dysfunction, specifically urgency, with or without urge incontinence, usually accompanied by frequency and nocturia, affects the quality of life of many people worldwide.2,3 Patients are managed initially with pharmacologic and behavioral therapy. A small percentage of these patients will fail these conservative measures and require operative intervention. Surgical therapies that are currently offered include botulinum toxin injection, neuromodulation, peripheral bladder denervation, autoaugmentation, augmentation cystoplasty, or urinary diversion. This chapter will focus on augmentation cystoplasty for patients with idiopathic detrusor overactivity and specifically address patient satisfaction and long-term outcomes in this patient population.