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BIBTEX RIS

Continent urinary reconstruction in rhabdomyosarcoma: A new approach

2004; Elsevier BV; Volume: 39; Issue: 9 Linguagem: Inglês

10.1016/j.jpedsurg.2004.05.017

1531-5037

Ricardo Garcia de Freitas, Yuri Nobre, António Macedo, Guilherme T.S. Demarchi, Valdemar Ortiz, Miguel Srougi,

Surgical site infection prevention

The authors present here 5 cases of continent urinary diversion in rhabdomyosarcoma applying a recently described technique for the Mitrofanoff Principle devised by the authors.Two previously irradiated rhabdomyosarcoma patients presenting with residual bladder disease and massive sensitive urinary urgency underwent a transverse colonic reservoir with catheterizable stoma. Two other patients presenting with a Bricker conduit underwent conversion into an ileal reservoir. One patient underwent reconstruction after a cystectomy.All patients were continent and able to perform continent intermittent catheterization.The technique proved to be feasible for this group of patients. The authors believe that because of its simplicity, it should be an option of continent urinary diversion when the Mitrofanoff Principle is considered.