[Urethral lengthening with a tube flap (Kropp's operation) and gastrocystoplasty].
Gastrocystoplasty associated to a Kropp procedure in our experience has been an excellent alternative to improve the quality of life and renal function in patients with severe bladder dysfunction and urinary incontinence. Technically offers easy development of a gastrointestinal segment not requiring ureteral reimplantation or detubularization with the consequent excess of sutures required traditionally in these procedures. Also the postoperative care was smoother and shorter than previously using with the obvious advantage of less mucus production and no metabolic disturbances often present. Further catheterization might be performed through a physiological way obviating abdominal stomas.
Delgado Chanis
G
G
Facultad de Medicina, Universidad de Panamá.
Alvarado
A
A
Fletcher
E
E
Pretto
R
R
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D013270:Stomach / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods*; D001743:Urinary Bladder / Q000601:surgery; D001750:Urinary Bladder, Neurogenic / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*; D014549:Urinary Incontinence / Q000601:surgery
Alargamiento de uretra con colgajo tubularizado (operación de Kropp) y gastrocistoplastía.