[Continent urinary diversion in children: enterocystoplasty + appendiceo-cutaneostomy].
A continent urinary diversion was done by bladder augmentation using a cecal-colonic segment in total urinary incontinence in 3 patients aged 13, 16 and 21 years. The distal end of the appendix was brought to the skin. The narrow lumen of the appendix provides a closure mechanism in a low pressure urinary reservoir. A watertight, easily catheterizable urinary diversion might mean that there is no need to implant the distal end of the appendix into the bladder or colon in a submucous non-refluxing fashion as recommended by Mitrofanoff. The intermittent clean catheterization of the augmented bladder via the appendix was carried out at intervals of 3 hrs. 12-24 months after the establishment of urinary diversion the patients are free of complaints, socially fully accepted.
Pintér
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Pécsi Orvostudományi Egyetem, Gyermekklinika.
Farkas
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Hock
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Jainsch
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M
D000293:Adolescent; D000328:Adult; D001065:Appendix / Q000601:surgery; D002432:Cecum / Q000601:surgery; D003106:Colon / Q000601:surgery; D004766:Enterostomy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D001743:Urinary Bladder / Q000601:surgery*; D014546:Urinary Catheterization; D014547:Urinary Diversion / Q000379:methods*; D014549:Urinary Incontinence / Q000534:rehabilitation* / Q000601:surgery
Kontinens vizeleteltérítés gyermekkorban: enterocystoplasztika + appendico-cutaneostomia.