Robotic Bladder Augmentation with Intracorporeal Bowel Anastomosis in Adult Female

This video presents performing a robotic bladder augmentation with complete intracorporeal bowel anastomosis (ileum) in a woman with neurogenic bladder. Patient had small capacity, high pressure bladder with frequent incontinence despite maximal anticholingergic therapy. Patients with small capacity bladders may have two problems. First the inability to hold urine therefore issues with incontinence. The second, increased bladder pressures which may have a negative effect on upper tract function. Bladder augmentation involves increasing the capacity of the. By increasing the size of the bladder with an intestinal portion, the capacity is increased and bladder pressure lowered. Patients may also have issues with urinary frequency, urgency, and sometimes, urinary tract infections. Main steps of procedure: 1. Harvest of ileum ~22 cm. 2. Single fold inverted "U" of ileum. 3. Opening of bladder. 4. Ileum to bladder anastomosis. Author: Dr. Ali Moinzadeh, Burlington, MA, USA.