Augmentation enterocystoplasty (AEC) is a surgical procedure in which the bladder is enlarged using an intestinal segment in patients with lower urinary tract dysfunction who fail to achieve satisfactory results with all conservative treatments. Currently, surgical materials and procedures, concomitant correction of upper urinary tract abnormalities, or bladder neck reconstruction may vary depending on the experience and preferences of the surgeons. AEC has been proven to be successful with respect to surgical goals, such as achieving urinary continence, improving quality of life, and preserving the upper urinary tract over the long term. The advantage of AEC over intravesical injection of botulinum toxin-a more recent and less invasive procedure-is that the prevention of upper urinary tract damage and the improvement of urinary incontinence are more reliably guaranteed, especially considering that these surgical effects are permanent. Compared to less invasive treatments, the quality of life of patients after surgery is also much higher, and AEC may be more cost-effective in the long run. Thus, in patients with neurogenic bladder, AEC is still the gold standard surgical procedure with strong evidence in support of its efficacy. In this article, the indications, surgical methods, possible complications, long-term follow-up, and current positioning of AEC in lower urinary tract dysfunction is discussed.

中文翻译：

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增强肠囊成形术在神经源性膀胱治疗中的当前位置。

增强肠囊成形术（AEC）是一种外科手术，其中对于所有下尿路功能障碍的患者，在所有保守治疗中均无法获得满意的效果，因此使用肠段扩大了膀胱。当前，外科手术材料和程序，上尿路异常的伴随矫正或膀胱颈重建可能取决于外科医生的经验和偏好。长期以来，AEC已被证明在外科手术目标方面是成功的，例如实现尿失禁，改善生活质量以及保留上尿路。AEC相比于膀胱内注射肉毒杆菌毒素（一种最新且侵入性较小的方法）的优势在于，可以更可靠地确保预防上尿路损伤和改善尿失禁，尤其是考虑到这些手术效果是永久性的。与无创治疗相比，手术后患者的生活质量也更高，从长远来看，AEC可能更具成本效益。因此，在患有神经源性膀胱的患者中，AEC仍然是金标准的外科手术，有力的证据支持其疗效。在本文中，讨论了下尿路功能障碍的适应症，手术方法，可能的并发症，长期随访以及AEC的当前位置。特别是考虑到这些手术效果是永久性的。与无创治疗相比，手术后患者的生活质量也更高，从长远来看，AEC可能更具成本效益。因此，在患有神经源性膀胱的患者中，AEC仍然是金标准的外科手术，有力的证据支持其疗效。在本文中，讨论了下尿路功能障碍的适应症，手术方法，可能的并发症，长期随访以及AEC的当前位置。特别是考虑到这些手术效果是永久性的。与无创治疗相比，手术后患者的生活质量也更高，从长远来看，AEC可能更具成本效益。因此，在患有神经源性膀胱的患者中，AEC仍然是金标准的外科手术，有力的证据支持其疗效。在本文中，讨论了下尿路功能障碍的适应症，手术方法，可能的并发症，长期随访以及AEC的当前位置。