Decreased bladder capacity or abnormal compliance may manifest as debilitating urgency, frequency, incontinence, recurrent urinary tract infections (UTIs), pyelonephritis, or progressive renal insufficiency. Various studies used to evaluate such symptoms may reveal severe dysfunction
- Detrusor instability.
- Chronic cystitis, including tuberculosis and schistosomiasis.
- Interstitial cystitis.
- Radiation cystitis.
- Classic or cloacal exstrophy.
- Defunctionalized bladder in a patient who is on dialysis.
More about Treatment
Bladder augmentation is a surgical alteration of the urinary bladder. It involves removing strips of tissue from the intestinal tract and adding this to the tissue of the bladder.
This has two intended results: increased bladder volume; and a reduced percentage of the bladder involved in contraction, that in turn results in lower internal pressures in the bladder during urination. Risks of bladder augmentation include incomplete voiding of the bladder post-surgery (resulting in the patient having to undergo intermittent catheterisation or an indwelling catheter), acute intestinal obstruction due to adhesions some years after surgery, and, in extremely rare cases, cancers of the intestinal tissue within the bladder.