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Recently Described Innovative Reconstruction in Neurogenic Bladder: a Review

  • Neurogenic Bladder (C Powell, Section Editor)
  • Published:
Current Bladder Dysfunction Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

In this review, we will discuss the recently described methods in lower urinary tract reconstruction in the setting of neurogenic bladder. Topics include bladder augmentation, conversion surgeries, anti-incontinence surgeries (artificial urinary sphincter, bladder neck reconstruction), minimally invasive surgery, emerging techniques, and experimental therapies.

Recent Findings

There are many novel techniques being developed to approach the treatment of neurogenic bladder. Many of these case series or surgical descriptions do not yet have randomized prospective outcomes data.

Summary

The field of reconstructive urology as it pertains to neurogenic bladder continues to evolve with development of minimally invasive/robotic techniques. Individualized efforts are required for patients’ goals, quality of life, and preservation of renal function. Current experimental technologies with the goal of restoring normal bladder function represent the future of neurogenic bladder management.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Miller CA, Kennelly MJ. Pulse article: survey of neurogenic bladder management in spinal cord injury patients around the world. Spinal Cord Ser Cases. 2021;7(1):16. https://doi.org/10.1038/s41394-021-00388-4.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Ginsberg D. The epidemiology and pathophysiology of neurogenic bladder. Am J Manag Care. 2013;19(10 Suppl):s191–6.

    PubMed  Google Scholar 

  3. Thaker H, Zhang S, Diamond DA, Dong M. Beyond botulinum neurotoxin A for chemodenervation of the bladder. Curr Opin Urol. 2021;31(2):140–6. https://doi.org/10.1097/MOU.0000000000000843.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Sun XG, Wang RY, Xu JL, et al. Surgical outcomes of bladder augmentation: a comparison of three different augmentation procedures. World J Clin Cases. 2020;8(15):3240–8. https://doi.org/10.12998/wjcc.v8.i15.3240.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Jeong SJ, Oh SJ. The current positioning of augmentation enterocystoplasty in the treatment for neurogenic bladder. Int Neurourol J. 2020;24(3):200–10. https://doi.org/10.5213/inj.2040120.060.

    Article  PubMed  PubMed Central  Google Scholar 

  6. •• Brungardt JG, Miller CS, Schropp KP. Enterocystoplasty and appendicovesicostomy in adults: a description of demographics and 30-day outcomes of bladder augmentation. Am J Clin Exp Urol. 2020;8(4):133–9. Contemporary study examining short-term bladder augment outcomes.

    PubMed  PubMed Central  Google Scholar 

  7. Macedo A, Ottoni SL, Garrone G, Mattos RM, da Cruz ML. Conversion of vesicostomy into continent catheterizable reservoirs in myelomeningocele. Int Braz J Urol. 47(2):470–471. https://doi.org/10.1590/S1677-5538.IBJU.2020.0347.

  8. • Shenot PJ, Teplitsky S, Margules A, Miller A, Das AK. Urinary undiversion by conversion of the incontinent ileovesicostomy to augmentation ileocystoplasty in spinal cord injured patients. J Spinal Cord Med. Published online October 15, 2020:1–8. https://doi.org/10.1080/10790268.2020.1829420. Conversion surgery for changing patient needs.

  9. Sen S, Arunachalam P, Sam CJ. Non-obstructive, non-refluxing uretero-colonic anastomosis by colonic sero-muscular excision and extra mural peri-ureteric wrap - a new technique in 17 children. J Pediatr Urol. 2021;17(1):99.e1-99.e7. https://doi.org/10.1016/j.jpurol.2020.10.030.

    Article  Google Scholar 

  10. Gargollo PC, White LA. Robotic-assisted bladder neck procedures in children with neurogenic bladder. World J Urol. 2020;38(8):1855–64. https://doi.org/10.1007/s00345-019-02912-6.

    Article  PubMed  Google Scholar 

  11. Gasmi A, Perrouin-Verbe MA, Hascoet J, et al. Long-term outcomes of artificial urinary sphincter in female patients with spina bifida. Neurourol Urodyn. 2021;40(1):412–20. https://doi.org/10.1002/nau.24576.

    Article  PubMed  Google Scholar 

  12. Malhotra NR, Wallis MC, Allen CM, Cartwright PC, Lau GA. Continence outcomes following a modification of the Mitchell bladder neck reconstruction in myelomeningocele: a single institution experience. J Pediatr Urol. 2020;16(5):653.e1-653.e8. https://doi.org/10.1016/j.jpurol.2020.06.032.

    Article  Google Scholar 

  13. Nimeh T, Elliott S. Minimally invasive techniques for bladder reconstruction. Curr Urol Rep. 2018;19(6):39. https://doi.org/10.1007/s11934-018-0787-y.

    Article  PubMed  Google Scholar 

  14. Mazouin C, Hubert J, Tricard T, et al. Robot-assisted cystectomy and ileal conduit for neurogenic bladder: comparison of extracorporeal vs intracorporeal urinary diversion. J Endourol. 2021;35(9):1350–6. https://doi.org/10.1089/end.2020.0921. Retrospective study evaluating extracorporeal vs intracorporeal urinary diversions in neurogenic bladder patients.

    Article  PubMed  Google Scholar 

  15. Grilo N, Chartier-Kastler E, Grande P, Crettenand F, Parra J, Phé V. Robot-assisted supratrigonal cystectomy and augmentation cystoplasty with totally intracorporeal reconstruction in neurourological patients: technique description and preliminary results. Eur Urol. 2021;79(6):858–65. https://doi.org/10.1016/j.eururo.2020.08.005.

    Article  PubMed  Google Scholar 

  16. Rodriguez MV, Wallace A, Gundeti MS. Robotic bladder neck reconstruction with Mitrofanoff appendicovesicostomy in a neurogenic bladder patient. Urology. 2020;137:206–7. https://doi.org/10.1016/j.urology.2019.11.023.

    Article  PubMed  Google Scholar 

  17. Parikh N, Findlay B, Boswell T, Granberg C, Gargollo P. Single-port robotic Mitrofanoff in a pediatric patient. J Pediatr Urol. 2021;17(3):424–5. https://doi.org/10.1016/j.jpurol.2021.03.021.

    Article  PubMed  Google Scholar 

  18. Stout TE, Roth JD, Gor RA, Pariser JJ, Elliott SP. Technique and outcomes of hand-assist laparoscopic continent cutaneous ileocecocystoplasty. Urology. 2021;152:200. https://doi.org/10.1016/j.urology.2021.01.019.

    Article  PubMed  Google Scholar 

  19. Liu Y, Bi Y, Sun Y, Shen J, Tang L, Chen H. Outcomes of laparoscopic continent catheterizable conduit procedures in children with neurogenic bladder: an 8-year experience in a single center. J Pediatr Urol. 2020;16(4):478.e1-478.e6. https://doi.org/10.1016/j.jpurol.2020.06.019.

    Article  Google Scholar 

  20. Elghandour MM, el Naggar O, Abdel-Latif M. Vesico-cutaneous fistula: a modified technique for intermittent catheterization in children with impaired bladder function. J Pediatr Urol. 2021;17(4):524.e1-524.e6. https://doi.org/10.1016/j.jpurol.2021.04.013.

    Article  Google Scholar 

  21. Sarin YK, Kumar P. Split-appendix technique for simultaneous use in the Mitrofanoff principle and posterior urethral substitution in a bladder exstrophy-epispadias complex patient. J Indian Assoc Pediatr Surg. 24(1):65–67. https://doi.org/10.4103/jiaps.JIAPS_71_18.

  22. Polm PD, Beyerlein S, Klijn AJ, de Jong TPVM, Dik P. The Double Dutch technique: a new way of creating an ileocystoplasty with a lengthy catheterizable ileal tube. J Pediatr Urol. 2018;14(3):255.e1-255.e6. https://doi.org/10.1016/j.jpurol.2017.12.014.

    Article  CAS  Google Scholar 

  23. Jacob TJK, James Sam C, Jacob Kurian J, Karl IS, Kisku SMC, Sen S. Transureteroureterostomy as an adjunctive antireflux procedure in children undergoing bladder augmentation for neurogenic bladder with major reflux. J Pediatr Urol. 2020;16(2):190.e1-190.e6. https://doi.org/10.1016/j.jpurol.2019.12.006.

    Article  Google Scholar 

  24. •• Agarwal P, Husain S, Wankhede S, Sharma D. Rectus abdominis detrusor myoplasty (RADM) for acontractile/hypocontractile bladder in spinal cord injury patients: preliminary report. J Plast Reconstr Aesthet Surg. 2018;71(5):736–42. https://doi.org/10.1016/j.bjps.2017.12.015. Series showing the efficacy of rectus flap in augmenting bladder function.

    Article  PubMed  Google Scholar 

  25. Forte AJ, Boczar D, Huayllani MT, et al. Latissimus dorsi detrusor myoplasty for bladder acontractility: a systematic review. Arch Plast Surg. 2021;48(5):528–33. https://doi.org/10.5999/aps.2021.00402.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Agarwal P, Parihar V, Kukrele RR, Kumar A, Sharma D. Anatomical feasibility of anastomosing intercostal nerves (D10&D11) and subcostal nerve (D12) to S2 ventral root and lumbar plexus for management of bladder function after spinal cord injury. J Clin Orthop Trauma. 11(5):900–904. https://doi.org/10.1016/j.jcot.2019.12.018

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Authors and Affiliations

  1. Department of Urology, University of Wisconsin School of Medicine and Public Health, MFCB 1685 Highland Avenue, Madison, WI, 53705-2281, USA

    Zoe Blumenthal, Sarah E. McAchran & Frank C. Lin

Authors
  1. Zoe Blumenthal
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  2. Sarah E. McAchran
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  3. Frank C. Lin
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Correspondence to Frank C. Lin.

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This article is part of the Topical Collection on Neurogenic Bladder

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Blumenthal, Z., McAchran, S.E. & Lin, F.C. Recently Described Innovative Reconstruction in Neurogenic Bladder: a Review. Curr Bladder Dysfunct Rep 17, 163–168 (2022). https://doi.org/10.1007/s11884-022-00656-5

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