ABSTRACT
The primary principle of surgery to increase storage is to alter the bladder wall so that the storage pressures are decreased, and the storage volume expanded, in principle, with the law of LaPlace. The complications of metabolic upset, long-term complications to bone, vitamin B deficiency, bowel habit changes, augmentation failure, and potential of cancer need to be thoroughly discussed with and understood by the patient and caregivers prior to undertaking bladder enlargement surgery, particularly in female patients, who may desire childbearing later. A number of concomitant procedures were performed with this original myomectomy, and the authors did not introduce early bladder cycling. However, controversy exists regarding use of bladder augmentation in renal insufficiency and also as a prelude to transplantation. Also, all patients should be capable of performing clean intermittent catheterization postoperatively to make sure that the bladder is adequately drained.
