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CONCLUSIONS

Laparompic laser assisted auto-augmentation is a techni-cally feasible, less invasive alternative to open auto-augmentation. Furthermore, it does not increase the difficulty of future abdominal surgery. However, long-term success was not achieved in our patients. Potential modifications to im-prove the long-term success of this procedure include wider lateral mobilization of the detrusor muscle followed by detrusorectomy. It is possible that in all pediatric patients with neurogenic bladders symptoms will ultimately recur &r auto-augmentation secondary to progressive fibrosis of the augment site or from inherent neurogenic bladder dysfunction. As methods to improve long-term results become available, including the use of enteric hoods over the auto-augment, the role of laparompy and lasers will become better defined.