Presentation
Urinary incontinence and overactive bladder.
Patient Data
By injecting the contrast media through a suprapubic catheter, post-operative changes due to augmentation cystoplasty (ileocystoplasty) are seen, including a small non-expanded cavity in the anterior aspect of the urinary bladder.
No sign of contrast media leakage and vesicoureteric reflux are seen.
Post-voiding residue is more than normal limits.
Case Discussion
Augmentation cystoplasty, most commonly ileocystoplasty, is a surgical procedure utilized in adults to treat low-capacity, compliant, or refractory overactive bladder and can create a safe, functional reservoir that enables urinary continence and prevents upper tract deterioration.
This case demonstrates inadequate ileocystoplasty in a 40-year-old female who was referred for urinary incontinence and overactive bladder because of a small, deformed, non-expanded intestinal segment of the augmented bladder.
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