Conversion of an ileal conduit to a continent catheterizable stoma.
A technique is described by which a previously constructed ileal conduit is used as an efferent limb of a continent urinary reservoir. The ileal segment is tapered; 1 end is tunneled submucosally into a reconfigured colonic reservoir and the other end is brought to the skin as a catheterizable stoma. This modification of the Mitrofanoff principle provides a highly continent stoma that is easily catheterized, and allows for preservation of the terminal ileum and ileocecal valve within the gastrointestinal tract.
Adams
M C
MC
Department of Urology, Indiana University Medical Center, Indianapolis.
Bihrle
R
R
Foster
R S
RS
Brito
C G
CG
D000328:Adult; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D012086:Reoperation; D014546:Urinary Catheterization; D014547:Urinary Diversion; D016476:Urinary Reservoirs, Continent / Q000379:methods*