Philippine Journal of Urology
Long-Term Outcomes of Autoaugmentation for Neurogenic Bladders: A Single- Surgeon Retrospective Paired Cohort Analysis
By Diovic S. Tan and David T. Bolong.
Abstract
Background
Neurogenic bladder dysfunction may lead to impaired bladder compliance, elevated storage pressures, recurrent urinary tract infections, vesicoureteral reflux, hydronephrosis, and renal deterioration. Bladder autoaugmentation offers a bowel-sparing reconstructive option, but long-term outcome data remain limited.
Objective
To evaluate the long-term urodynamic and functional outcomes of bladder autoaugmentation for neurogenic bladder dysfunction in pediatric and adolescent patients.
Methods
This retrospective paired cohort analysis included patients with neurogenic bladder who underwent bladder autoaugmentation by a single surgeon between January 2004 and December 2020. Patients were included if they had failed conservative management and had at least five years of follow-up. Preoperative and long-term postoperative urodynamic parameters were compared, including bladder capacity, compliance, end filling pressure, and detrusor leak point pressure. Secondary outcomes included symptom improvement, need for additional surgery, and complications classified using the Clavien-Dindo system.