Continent catheterizable conduits in pediatric urology: One-center experience

Kroll, Paweł; Gajewska, Ewa; Zachwieja, Jacek; Ostalska‐Nowicka, Danuta; Micker, Maciej; Jankowski, Andrzej

doi:10.17219/acem/63032

Cited by 3 publications

(4 citation statements)

References 23 publications

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“…The role of CIC is to protect the upper urinary tract and to achieve continence [4]. CV enables easier execution of CIC [5].…”

Section: Discussionmentioning

confidence: 99%

“…In 1976, in order to overcome this obstacle, Mitrofanoff [2] proposed the alternative forms of continent urinary diversion -appendicovesicostomy or ureterovesicostomy -with bladder neck closure (in most cases). These methods have been most widely applied after the reports of Duckett and Snyder [3], and along with the introduction of other possibilities (prepuce, a segment of small intestine, bladder wall, oviduct...) they justifiably named it the Mitrofanoff principle [4,5,6].…”

Section: Introductionmentioning

confidence: 99%

“…Considering any reservoir and any alternative urinary diversion, continent diversion is associated with a low-pressure reservoir [3,4]. In most cases, the goal is native bladder preservation, with or without augmentation.).…”

Section: Introductionmentioning

confidence: 99%

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Long-term outcomes of catheterizable continent urinary diversion in children

et al. 2020

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Introduction/Objective The use of bladder augmentation and/or continent urinary diversion has gained wide acceptance, particularly in children with small, abnormally developed bladder or high-pressure bladder that poses great risk for renal deterioration and incontinence. We discuss indications, results, and complications with various types of continent vesicostomy (CV) in children. Methods Sixty-eight patients with CV are retrospectively reviewed (51 boys and 17 girls) 1987-2008. The median follow-up time was 17.8 years (3-22 years). CV included appendicovesicostomy in 31 (41.3%), vesicostomy with distal ureter in 27 (36.0%), and preputial CV in 10 (13.3%) patients. CV in patients with augmented bladder was in 18 (26.47%) children. The indications for performing CV were various types of neurogenic and myogenic dysfunctions of urine bladder with incontinence due to the following pathoanatomical substrates: anomalies of the brain-spine segment development (27), bladder exstrophy (10), posterior urethral valve (15), expansive processes (4), and other anatomical defects in 12 patients. Results Continence was achieved in 94.64% of the cases, without statistically significant difference between particular types of the stoma (p = 0.065). Early complications included stoma necrosis, stoma bleeding, peristomal infection in 5/68 (7.35%) patients, and late complications included calculosis, in 20/68 (29.4%), stomal stenosis, in 8/68 (11.5%), and difficulties of catheterization, in 3/68 patients (4.08%). Calculosis was predominant in appendicovesicostomy (p = 0.012). Conclusion CV is a safe procedure applied with the main purposes of achieving continence, preservation of renal function, and improvement of the quality of life, along with an acceptably low rate of complications.

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“…The role of CIC is to protect the upper urinary tract and to achieve continence [4]. CV enables easier execution of CIC [5].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Long-term outcomes of catheterizable continent urinary diversion in children

et al. 2020

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“…The Mitrofanoff procedure also uses the appendix to construct a catheterizable bladder conduit 2 . During the past 25 years, several reports have described for dual appendicovesicostomy and appendicocaecostomy construction 3–5 . The youngest reported patient was aged 3 years 3 .…”

Section: Figmentioning

confidence: 99%