oa Central African Journal of Medicine - Colocystoplasty for the bilharzial bladder

Volume 11, Issue 3
  • ISSN : 0008-9176



The operation of colocystoplasty has been applied in the treatment of the chronic bilharzial bladder. A series of 20 cases is presented and the results are assessed. There was no operative mortality and it is shown that the procedure brings relief of symptoms in nearly all cases. There is a low incidence of complications and generally a smooth post-operative course. The effect of the procedure on the upper urinary tract in bilharziasis is discussed and it is suggested that the operation may prevent or delay the onset of serious renal complications if it is done at a comparatively early stage in the progress of the disease. Certain questions are posed on the possible effects of substitution of colon for bladder wall in the event of further re-infection with bilharziasis.

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