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Continent Urinary Diversion in Childhood

1990; Lippincott Williams & Wilkins; Volume: 143; Issue: 5 Linguagem: Inglês

10.1016/s0022-5347(17)40158-3

1527-3792

Terry W. Hensle, John P. Connor, Kevin A. Burbige,

Ureteral procedures and complications

No AccessJournal of UrologyPediatric Articles1 May 1990Continent Urinary Diversion in Childhood Terry W. Hensle, John P. Connor, and Kevin A. Burbige Terry W. HensleTerry W. Hensle More articles by this author , John P. ConnorJohn P. Connor More articles by this author , and Kevin A. BurbigeKevin A. Burbige More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)40158-3AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We review 24 children and young adults who underwent continent urinary diversion. The indications for an operation included bladder exstrophy in 11 patients, myelomeningocele in 8, sacral agenesis in 3, cloacal anomaly in 1, and traumatic disruption of the bladder neck and urethra in 1. The operations performed included an Indiana pouch in 19 patients, including 12 whose stoma was brought to a perineal position and 7 whose stoma was placed in the anterior abdominal wall. A Kock pouch was used in 2 patients and the Mitrofanoff principle was used in 3. The particular indications for the different procedures are discussed at length. Postoperative daytime continence as defined by at least 4 hours of dryness is present in all 24 patients to date, while 4 have nocturnal incontinence. Renal function is stable in all patients to date. In 18 patients postoperative urine cultures were positive during followup. All patients are on clean intermittent catheterization and reoperation has been required in 2 relating to an inability to perform postoperative intermittent catheterization. Two patients underwent reoperation for small bowel obstruction. The series supports the use of continent urinary diversion as a viable alternative to traditional forms of conduit diversion in children and young adults. (J. Urol, 143: 981-983, 1990) © 1990 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byFENG W, CASALE P, GRADY R, JOYNER B and MITCHELL M (2018) THE URETER AS A PEDICLE FOR CONSTRUCTION OF A URETERAL URETHRA: THE DOUBLE TUNNELJournal of Urology, VOL. 172, NO. 3, (1089-1091), Online publication date: 1-Sep-2004.SURER I, FERRER F, BAKER L and GEARHART J (2018) Continent Urinary Diversion and the Exstrophy-Epispadias ComplexJournal of Urology, VOL. 169, NO. 3, (1102-1105), Online publication date: 1-Mar-2003.HUSMANN O and CAIN M (2018) FECAL AND URINARY CONTINENCE AFTER ILEAL CECAL CYSTOPLASTY FOR THE NEUROGENIC BLADDERJournal of Urology, VOL. 165, NO. 3, (922-925), Online publication date: 1-Mar-2001.Hensle T, Kirsch A, Kennedy W and Reiley E (2018) Bladder Neck Closure in Association with Continent Urinary DiversionJournal of Urology, VOL. 154, NO. 2, (883-885), Online publication date: 1-Aug-1995.Elder J (2018) Continent Appendicocolostomy: A Variation of the Mitrofanoff Principle in Pediatric Urinary Tract ReconstructionJournal of Urology, VOL. 148, NO. 1, (117-119), Online publication date: 1-Jul-1992. Volume 143Issue 5May 1990Page: 981-983 Advertisement Copyright & Permissions© 1990 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Terry W. Hensle More articles by this author John P. Connor More articles by this author Kevin A. Burbige More articles by this author Expand All Advertisement PDF downloadLoading ...