Bladder neck closure with an Indiana stoma outlet as a technique for continent vesicostomy.
A continent vesicostomy was performed upon two patients. The opened right colonic segment was used to augment the bladder and the ileocecal portion to create a continent abdominal stoma according to the technique used in the Indiana pouch. One patient had complete obstruction of the urethra 1 centimeter distal to bladder neck. The second patient was a paraplegic with an contractile bladder and complete outlet incontinence who was reluctant to perform transurethral self-catheterization. After postoperative follow-up evaluation of 36 and 22 months, respectively, both patients are completely continent day and night on self-catheterization every six hours with preserved function of the upper part of the tract.
Goldwasser
B
B
Sheba Medical Center, Tel-Hashomer, Israel.
Ben-Chaim
J
J
Golomb
J
J
Leibovitch
I
I
Mor
Y
Y
Avigad
I
I
D003106:Colon / Q000601:surgery; D003559:Cystostomy / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D014524:Urethral Obstruction / Q000601:surgery; D014549:Urinary Incontinence / Q000601:surgery