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Clinical and urodynamic findings in children and adolescents with neurogenic bladder undergoing augmentation cystoplasty: a systematic review
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Clinical and urodynamic findings in children and adolescents with neurogenic bladder undergoing augmentation cystoplasty: a systematic review
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Journal Article
Clinical and urodynamic findings in children and adolescents with neurogenic bladder undergoing augmentation cystoplasty: a systematic review
2025
Overview
Background
Augmentation cystoplasty (AC) is a procedure to improve the clinical and urodynamic parameters of neurogenic bladder (NB) in children and adolescents refractory to other treatments. We performed a systematic review to investigate these parameters in children and adolescents with NB undergoing AC.
Methods
We followed PRISMA guidelines and searched electronic databases until March 2024 for studies involving patients aged three to 19 years diagnosed with NB undergoing AC. We assessed clinical and urodynamic parameters before and after surgery, focusing on improvements in urinary incontinence, vesicoureteral reflux (VUR), bladder capacity, compliance, and end filling detrusor pressure (EFP).
Results
A total of 212 NB patients underwent AC and were evaluated for urinary incontinence before and after surgery. Two studies showed a 76.5% to 78.9% improvement in incontinence without bladder outlet procedures (BOP). Another study found no significant difference in incontinence improvement rates between AC with and without BOP. The VUR resolution rate assessed in three studies ranged from 12.5 to 64%. Three studies showed a variation in bladder capacity from 52.8 to 70% of the expected bladder capacity pre-AC to 95.9 to 119%, post-AC. A fourth study showed a variation in bladder capacity from 87 ml pre-AC to 370 ml post-AC. Two studies showed a variation from 3.2 to 4.6 ml/cm H
2
O pre-AC to 13.7 to 41.3 ml/cm H
2
O post-AC in bladder compliance. The EFP in three studies varied from 37.2 to 47.6 cm H
2
O pre-AC to 11 to 17.4 cm H
2
O post-AC.
Conclusion
After AC, urinary incontinence, bladder capacity, EFP, and bladder compliance improved in children and adolescents with NB.
Graphical abstract
A higher resolution version of the Graphical abstract is available as
Supplementary information
Publisher
Springer Berlin Heidelberg,Springer,Springer Nature B.V
Subject
/ Bladder
/ Child
/ Children
/ Female
/ Humans
/ Male
/ Medicine
/ Patients
/ Surgery
/ Systematic Review/Meta-analysis
/ Urinary Bladder - physiopathology
/ Urinary Bladder, Neurogenic - etiology
/ Urinary Bladder, Neurogenic - physiopathology
/ Urinary Bladder, Neurogenic - surgery
/ Urinary Incontinence - diagnosis
/ Urinary Incontinence - etiology
/ Urinary Incontinence - physiopathology
/ Urinary Incontinence - surgery
/ Urologic Surgical Procedures - methods
/ Urology
/ Vesico-Ureteral Reflux - diagnosis
/ Vesico-Ureteral Reflux - physiopathology
