title: Concealed umbilical stoma: description of a modified technique.
abstract: OBJECTIVE
  We describe a technique for creating a concealed umbilical stoma.
  
  
  METHODS
  The base of the umbilicus is used as a superiorly based skin flap that is incorporated into the spatulated stoma. Six patients have undergone diversion using this technique. The stoma was constructed from appendix in 4 cases, stomach in 1 and tapered ileum in 1.
  
  
  RESULTS
  All patients achieved an easily catheterizable hidden umbilical stoma, are dry on clean intermittent catheterization and have had no stomatitis or peristomal hernia.
  
  
  CONCLUSIONS
  This technique for creating a concealed umbilical stoma preserves the native appearance of the umbilicus and combines a superior cosmetic result with an easily catheterizable stoma.
authors.affiliation: Department of Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, Maryland 21287-2101, USA.
authors.forename: J
authors.initials: J
authors.lastname: Ben-Chaim
authors.forename: R
authors.initials: R
authors.lastname: Rodriguez
authors.forename: S G
authors.initials: SG
authors.lastname: Docimo
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D014472:Umbilicus / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*; D016476:Urinary Reservoirs, Continent / Q000379:methods