The own experience of reconstructive-plastic operations on the bladder in children

In our country, complex surgical reconstruction of the distal urinary tract in severe bladder dysfunction children is performed infrequently, given number who need these operations. These operations were carried out country by specialists invited from abroad. Therefore, we want to share first experience performing a children. Purpose – ?mprove quality life with dysfunction. Materials and methods. The results reconstructive plastic on 7 analyzed. Four patients had neurogenic 3 them spinal bladder), two microcyst after correction exstrophy total epispadias. Augmentation ileocystoplasty was children, also underwent appendicocystostomy, only appendicocystostomy. An assessment condition, degree retention, postoperative complications operated Results. All recovered. bladders three augmentation have sufficient volume fully provide reservoir function. We did not observe metabolic acidosis or other serious disorders described authors on. Urolithiasis observed surgery. 5 latter well catheterized, has good cosmetic effect. 4 there no leakage urine through stoma. recovered for vesicoureteral reflux chronic pyelonephritis. According survey, improvement most parameters (cessation infection, complete retention more infrequent controlled urination, ability visit children’s groups social adaptation society). Conclusions. Based own appendicocystostomy according Mitrofanoff, efficiency reconstructive-plastic noted. all significantly improved urination achieved, progression kidney damage stopped. are successfully corrected. Of great importance achieving effect treatment correct choice type each case. research accordance principles Helsinki declaration. study protocol approved Local ethics committee participating institution. informed consent patient obtained conducting studies. No conflict interest declared authors. Key words: ileocystoplasty,