{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T15:47:02Z","timestamp":1792079222451,"version":"4.4.0"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,6,3]],"date-time":"2021-06-03T00:00:00Z","timestamp":1622678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To establish the long\u2010term efficacy and safety of bladder augmentation in spina bifida patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>Sixteen patients were operated on using the Bramble technique. Preoperative and postoperative evaluation included clinical history, blood tests, urine cultures, cystography, pyelography, ultrasound, and filling cystometry. In the final review a standardized quality of life questionnaire was applied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median follow\u2010up was 20 years (15\u201326). Kidney function was stabilized except for one case that required a kidney transplant. Hydronephrosis disappeared or improved (<jats:italic>p<\/jats:italic>\u2009=\u20090.03). Vesicoureteral reflux grades I\u2013II was cured without reimplantation and grades III\u2010IV responded better with reimplantation than without (<jats:italic>p<\/jats:italic>\u2009=\u20090.03). Quality of life improved in all patients, with all stating they would undergo the procedure again. After surgery, 94% of the patients exhibited diurnal continence but 25% exhibited nocturnal incontinence. Pressure at capacity decreased and bladder capacity increased (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). One patient presented ureteral fistula with another presenting hemorrhage. Both required immediate surgical review. Late complications included urinary sphincter cuff erosion, renal lithiasis, four instances of bladder lithiasis and repeated pyelonephritis in one 24\u2010year\u2010old patient. All required surgery. The mean of urinary infections fell, from 2.5 per year (0.7) to 1 (0.5) (<jats:italic>p<\/jats:italic>\u2009=\u20090.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Augmentation cystoplasty (AC) maintains its efficacy and improves quality of life in the long term. However, serious surgical complications can ensue, along with minor or major subsequent complications. This should be considered before surgery and makes lifelong monitoring of patients necessary.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24713","type":"journal-article","created":{"date-parts":[[2021,6,4]],"date-time":"2021-06-04T12:32:11Z","timestamp":1622809931000},"page":"1576-1584","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Long\u2010term effectiveness and safety of bladder augmentation in spina bifida patients"],"prefix":"10.1002","volume":"40","author":[{"given":"Jes\u00fas","family":"Romero\u2010Maroto","sequence":"first","affiliation":[{"name":"Department of Pathology and Surgery Universidad Miguel Hern\u00e1ndez  Elche Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Martinez\u2010Cayuelas","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital Universitario del Vinalop\u00f3  Elche 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