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A prospectively maintained database on 385 patients that have experienced an enteric bladder augmentation, using either the ileum or colon, was reviewed. Evaluations included methods used to prevent bladder calculi formation and recurrence, the incidence and etiology of renal calculi development, the incidence and treatment of vitamin B<jats:sub>12<\/jats:sub> deficiency, and the complications and need for surgical revisions for continent catheterizable stomas. A significantly increased risk for continent catheterizable stomal complications occurred after Monti\u2013Yang tube formation, 70% (21\/30 patients), compared with appendicovesicostomy, 41% (27\/66 patients), <jats:italic>P<\/jats:italic> = 0.008. Both procedures had significantly more complications than continent catheterizable stomas using tapered ileum with a reinforced ileal\u2013cecal valve, 21% (13\/63 patients), <jats:italic>P<\/jats:italic> &lt; 0.0001 and <jats:italic>P<\/jats:italic> &lt; 0.013, respectively. Approximately 50% of the patient population developed a body mass index \u226530 during adulthood. The onset of obesity resulted in significantly more complications developing in patients with a Monti\u2013Yang tube (87%; 13\/15 patients) or appendicovesicostomy (55%; 18\/33 patients) compared with a tapered ileum with a reinforced ileal\u2010cecal valve (27%, 8\/30 patients), <jats:italic>P<\/jats:italic> &lt; 0.00015 and <jats:italic>P<\/jats:italic> &lt; 0.025, respectively, with a median follow\u2010up interval of 16 years, range 10\u201325 years. Long\u2010term follow\u2010up evaluations on patients undergoing an enteric bladder augmentation are necessary to prevent the long\u2010term sequela of this procedure. The key to improving patient prognosis is the nutritional management of the patient as they mature, especially if a continent abdominal stoma is going to be carried out.<\/jats:p>","DOI":"10.1111\/iju.13417","type":"journal-article","created":{"date-parts":[[2017,8,3]],"date-time":"2017-08-03T15:42:29Z","timestamp":1501774949000},"page":"94-101","source":"Crossref","is-referenced-by-count":45,"title":["Lessons learned from the management of adults who have undergone augmentation for spina bifida and bladder exstrophy: Incidence and management of the non\u2010lethal complications of bladder augmentation"],"prefix":"10.1111","volume":"25","author":[{"given":"Douglas A","family":"Husmann","sequence":"first","affiliation":[{"name":"Department of Urology Mayo Clinic Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,8,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)63646-3"},{"key":"e_1_2_6_3_1","first-page":"3","article-title":"Long\u2010term complications following bladder augmentations in patients with spina bifida; bladder calculi, perforation of the augmented bladder and upper tract deterioration","volume":"5","author":"Husmann D","year":"2016","journal-title":"Transl. 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