Continent diversion vesicoplasty for the treatment of the irreparable, multi-operated urethral stricture patient.
A continent diversion vesicoplasty technique has been developed for patients with irreparable lower urinary tract secondary to severe urethral trauma and subsequent deleterious iatrogenic effects. Five cases were treated in which at least ten urethral repair attempts were previously performed. All patients were younger than 30 years old and have been in urological consultation for more than ten years. The surgical technique involves a non-detubularized ileocecal segment with a stapled stabilized intussuscepted nipple, that combines the experience gained with intestinal segments in either benign, malignant or congenital disease. The most important details of each technique have been utilized and are accurately explained. All patients have been restored to a fairly normal life. These cases represent a group of otherwise healthy young individuals with an extremely incapacitating benign disorder.
Department of Urology, Hospital de Especialidades, Centro Medico Nacional La Raza, IMSS, Mexico, D.F.
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Campos
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Gómez-Orta
D000328:Adult; D006801:Humans; D008297:Male; D012086:Reoperation; D017211:Treatment Failure; D014525:Urethral Stricture / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D016476:Urinary Reservoirs, Continent / Q000379:methods*