Abstract:
Introduction: This is a surgical solution for the patients with idiopathic or neuropathic instability or hiperreflexia of the bladder detrusor which clinical manifestations are the urgency and / or incontinence.
Material and methods: Prolonged conservative treatment had failed in all cases. The surgical
procedure consists off the bissection of the bladder in sagital or coronal plane and the augmentation with a detubularized intestinal segment without any resection. Clam cystoplasty looks to be the
most effective treatment for detrusor instability resistant to conservative treatment. We used it when
prolonged medical treatment failed.
Conclusions: The Clam procedure is easier, quicker and satisfactory as augmentation cystoplasty
in selected cases.
