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6.5: 6.5-Surgical Therapy

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  • Clam ileocystoplasty and augmentation procedures are usually reserved for patients with neurogenic detrusor overactivity and high pressure bladders with the potential of upper tract damage. The advent of neuromodulation and Botox has provided us with additional options prior to resorting to surgery. Augmentation procedures also have a high incidence of urinary retention requiring catheterization.