title: Bladder neck closure with an Indiana stoma outlet as a technique for continent vesicostomy.
abstract: 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.
authors.affiliation: Sheba Medical Center, Tel-Hashomer, Israel.
authors.forename: B
authors.initials: B
authors.lastname: Goldwasser
authors.forename: J
authors.initials: J
authors.lastname: Ben-Chaim
authors.forename: J
authors.initials: J
authors.lastname: Golomb
authors.forename: I
authors.initials: I
authors.lastname: Leibovitch
authors.forename: Y
authors.initials: Y
authors.lastname: Mor
authors.forename: I
authors.initials: I
authors.lastname: Avigad
mesh_terms: 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