Own methods of construction of continent urinary stoma in selected cases of patients with neuropathic bladder
Article published in Urologia Polska 2007/60/1.
- Klinika Urologii DzieciÍcej, Instytut "Pomnik - Centrum Zdrowia Dziecka" w Warszawie
urinary bladder, neuropathic bladder, earlier augmentation, paraplegia and bone deformities, continent urinary stoma construction
- The aims of the study. Evaluating the usefulness of own methods of continent urinary stoma construction in selected cases with earlier augmentation cystoplasty and long distance between bladder and place of sutured stoma.
- Material and methods. Construction of continent urinary stoma was performed in 80 patients with neuropathic bladder. In 6 patients with neuropathic bladder after previous augmentation cystoplasty, intestinal patch of augmented bladder was used in continent stoma construction. In 26 out of 80 patients qualified for continent urinary stoma construction, another own method of continent stoma creation was applied using diagonal tubularized flap, which gives about 3-4 cm longer channel of stoma.
- Results. Patients' follow-up ranged from 2 months to 2 years for stoma which was constructed from intestinal patch previously used for bladder augmentation and from 1 year to over 4 years for another method of stoma creation. All constructed from intestinal patch urinary stomas are continent and easily catheterizable. The complications were observed in 5 patients, in whom the other own method of continent urinary stoma construction was applied and they included: 1 stomal stenosis, 2 stomal incontinence and 2 stomal angulation.
- Conclusions. Construction of continent stoma from intestinal patch previously used in bladder augmentation allows to limit extension of surgical approach only to extraperitoneal space and allows to avoid bowel resection. The second described method is one of the simple ways to construct a continent urinary stoma. The method enables to create longer tunnel of continent stoma in case of long distance between bladder and the place of stoma.
- Rohrmann D: Neuropathic bladder dysfunction. Conference Book First International Conference of Paediatric Urology. Warsaw 1-2.10.2004, 195-212.
- De Jong TPVM: Neurogenic bladder, modern treatment. Paediatric Urology Course Book, Cappadocia 11-12.09.2003, 113-121.
- Dykes EH, Duffy PG, Ransley PG: The use of the Mitrofanoff principle in achieving clean intermittent catheterisation and urinary continence in children. J Pediatr Surg 1991, 26 (5), 535-538.
- Skobejko-W≥odarska L: Treatment of neuropathic urinary and faecal incontinence. Eur J Pediatr Surg 2002, 12, 318-321.
- Benson MC, Olsson CA: Continent urinary diversion. Urol Clin North Am 1999, 26, 125-147.
- Kaefer M, Retik AB: The Mitrofanoff principle in continent urinary reconstruction. Urol Clin North Am 1997, 24 (4), 795-811.
- Mitrofanoff P: Cystosomie continente transappendiculaire dans le traitement des vessies neurologiques. Chir Ped 1980, 21, 297-305.
- Lotmann BH, Bernuy M, Francois N, Kocer S: Contribution of the Mitrofanoff channel to the management of seriously handicapped patients. BJU Int 2004, 93, suppl. 2, 30.
- Walsh K, Troxel AS, Stone RA: An assessment of the use of a continent catheterizable stoma in female tetraplegics. BJU Int 2004, 94 (4), 595-597.
- Wedderburn A, Lee RS, Denny A: Synchronous bladder reconstruction and antegrade continence enema. J Urol 2001, 165, 2392-2393.
- Wedderburn A, Steinbrecher H, Denny A et al: Synchronous bladder reconstruction and antegrade continence enema procedure. BJU 2000, 85 (Suppl. 4), 64.
- Keating MA, Rink RC, Adams MC: Appendicovesicostomy: a useful adjunct to continent reconstruction of the bladder. J Urol 1993, 149, 1091-1094.
- Dussinger A, Cain M, Casale A et al: Appendicovesicostomy versus Monti for Mitrofanoff channel - the Indiana experience in over 300 patients. J Pediatr Urol 2005, 1 (3), 142.
- Figueroa TE, Sabogal L, Helal M: The tapered and reimplanted small bowel as a variation of the Mitrofanoff procedure: preliminary results. J Urol 1994, 152 (1), 73-75.
- Woodhouse CR, MacNeily AE: The Mitrofanoff principle: expanding upon a versatile technique. Br J Urol 1994, 74 (4), 447-453.
- Close CE, Mitchell ME: Continent gastric tube: new techniques and long-term follow up. J Urol 1997, 157 (1), 51-55.
- Casale AJ, Rink RC: Continent vesicostomy. Dialogues in Paediatric Urology 1999, 22 (1), 3-5.
- Rink RC, McLaughlin K, Adams MC: Modification of the Casale vesicostomy: continent diversion without the use of bowel. J Urol 1995, 153, suppl. 4, 339 A.
- Krstic ZD: Preputial continent vesicostomy. Preliminary report of a new technique. J Urol 1995, 154, 1160-1161.
- Bihrle L, Klee LW, Adams MC: Early clinical experience with the transverse colon-gastric tube continent urinary reservoir. J Urol 1991, 146 (3), 751-753.
- Poli-Merol ML, Belouadah M, Challemet C, Daoud S: Use of cutaneous flap for continent vesicostomy: an interesting alternative. BJU Int 2004, 93 (Suppl. 2), 31-32.
- Celayir S, Dervisoglu S, BŁyŁkŁnal SNC: A modified Mitrofanoff procedure using the rectus abdominis muscle flap technique: a preliminary report in a rabbit model. Br J Urol 1998, 81 (1), 83-86.
- BŁyŁkŁnal SNC, Kaner G, Celayir S: An alternative treatment modality in closing bladder extrophy: use of rectus abdominis flap - preliminary results in a rat model. J Ped Surg 1989, 24, 586-589.
- Celayir S, BŁyŁkŁnal SNC: Rectus abdominis muscle flap (RAMF) technique for the management of large bladder defects: urodynamic findings in a rabbit model. Br J Urol 1996, 78, 294-297.
- Mor Y, Kajbafzadeh AM, German K: The role of ureter in the creation of Mitrofanoff channels in children. J Urol 1997, 157 (2), 635-637.
- Perovic S, Radojicic Z: Reflusive megaureter for a Mitrofanoff channel using an extravesical detrusor tunnelling procedure. BJU Int 2004, 93 suppl. 2, 29.
- Monti PR, Lara RC, Dutra MA, Rezende de Carvalho J: New techniques for construction of efferent conduits based on the Mitrofanoff principle. Urology 1997, 49, 112-115.
- Yang WH: Yang needle tunneling technique in creating antireflux and continent mechanisms. J Urol 1993, 150, 830-834.
- Casale AJ: A long continent ileovesicostomy using a single piece of bowel. J Urol 1999, 162, 1743-1745.
- Sugarman ID, Malone PS, Terry TR, Koyle MA: Transversely tubularized ileal segments for the Mitrofanoff or MACE procedures: the Monti principle. BJU 1998, 81 (Suppl. 2), 80.
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