The use of stomach in pediatric urinary reconstruction.
We report on 30 consecutive patients (mean age 9 years) who underwent gastrocystoplasty (21) or received a continent urinary reservoir with stomach (9). A successful outcome, defined as complete urinary continence for intervals greater than 3 hours, preservation or improvement of the upper tracts and renal function, and normal electrolyte and acid base balance, was achieved in 90% of the patients who received continent urinary reservoir and 72% of those who underwent gastrocystoplasty. Urodynamic data were obtained in 17 patients in the gastrocystoplasty group and 7 in the continent urinary reservoir group at a mean of 6 months postoperatively. Metabolic alkalosis associated with hypergastrinemia occurred in 2 children. Partial excision of the gastric segment was necessary in 1 patient refractory to medical treatment.
Gosalbez
R
R
Division of Urology, Emory University, Egleston Children's Hospital, Atlanta, Georgia.
Woodard
J R
JR
Broecker
B H
BH
Parrott
T S
TS
Massad
C
C
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007668:Kidney / Q000503:physiopathology; D008297:Male; D011183:Postoperative Complications; D013270:Stomach / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D014549:Urinary Incontinence / Q000601:surgery; D016476:Urinary Reservoirs, Continent / Q000379:methods*; D014563:Urodynamics