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International Braz J Urol
Official Journal of the Brazilian Society of Urology

Vol. 40 (6): 858-859, November - December, 2014
 
Pure Laparoscopic Augmentation Ileocystoplasty
     
Rafael B. Rebouças 1, Rodrigo C. Monteiro 1, Thiago N. S. de Souza 1, Augusto J. de Aragão 1, Camila R. T. Burity 1, Júlio C. de A. Nóbrega 1, Natália S. C. de Oliveira 1, Ramon B. Abrantes 1, Luiz B. Dantas Júnior 1, Ricardo Cartaxo Filho 1, Gustavo R. P. Negromonte 1, Rafael da C. R. Sampaio 1, Cesar A. Britto 1
1 Faculty of Medical Sciences of Paraiba and Department of Urology, Police Military Hospital Edson Ramalho, João Pessoa, PB, Brazil
   
Abstract
Introduction: Guillain-Barre syndrome is an acute neuropathy that rarely compromises bladder function. Conservative management including clean intermittent catheterization and pharmacotherapy is the primary approach for hypocompliant contracted bladder. Surgical treatment may be used in refractory cases to improve bladder compliance and capacity in order to protect the upper urinary tract. We describe a case of pure laparoscopic augmentation ileocystoplasty in a patient affected by Guillain-Barre syndrome. Presentation: A 15-year-old female, complaining of voiding dysfunction, recurrent urinary tract infection and worsening renal function for three months. A previous history of Guillain-Barre syndrome on childhood was related. A voiding cystourethrography showed a pine-cone bladder with moderate post-void residual urine. The urodynamic demonstrated a hypocompliant bladder and small bladder capacity (190mL) with high detrusor pressure (54 cmH2O). Nonsurgical treatments were attempted, however unsuccessfully.
 

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