Appendix as continent urinary reservoir outlet.
The submucosally embedded in situ appendix offers an ideal continence mechanism in patients with ileocaecal urinary reservoir. Ninety-two patients who underwent this procedure at three urology centres (48 patients in Mainz, 20 in Wuppertal-Barmen and 24 in Marburg) are reviewed. The appendicocutaneous stoma was placed in the lower right abdominal quadrant in 12 patients (most of whom previously had bladder exstrophy) and into an umbilical or, in some exstrophy cases, a neoumbilical tunnel in 80 patients. Urodynamic investigations of the submucosally embedded appendix showed maximum closure pressure greater than 80 cm H2O.
Riedmiller
H
H
Department of Urology, University Hospital, Marburg, Germany.
D001065:Appendix / Q000601:surgery*; D006801:Humans; D016476:Urinary Reservoirs, Continent / Q000379:methods*; D014563:Urodynamics / Q000502:physiology