Cecocystoplasty in the Surgical Management of the Small Contracted Bladder

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Abstract
Preliminary results were reviewed for 17 patients with a small contracted bladder from chronic inflammatory disease who underwent cecocystoplasties. Except for 1 patient who was lost, follow up results were considered excellent in 11, good in 2 and a failure in 3. The amount of diseased bladder resected and the configuration of the cecal segment used did not seem to bear any relationship to the surgical outcome. The importance of a concurrent Y-V plasty is emphasized. No case of significant electrolyte imbalance has been encountered. Results can be gratifying in selected patients after detailed voiding pattern documentation and a thorough urological study have been completed.