Ureterocystoplasty in a teenage boy: a case report

Resumo

Bladder augmentation may be required for patients with a small, high-pressure bladder and associated incontinence, particularly if related to renal injury. Ureterocystoplasty (UC) using a dilated ureter expands capacity without bowel incorporation risks. We report a teenage boy with spina bifida, an associated neuropathic, high-pressure bladder, and an obstructed, dysplastic left kidney. Via two extraperitoneal incisions, the kidney was removed, and UC was performed. Postoperatively, the patient achieved continence without anticholinergics on intermittent catheterisation. This case highlights the technique’s versatility, suitability for older patients, and advantages in avoiding bowel-related complications, reducing the sepsis risk by removing a redundant system, and lowering the hypertension risk through  nephrectomy.