title: Minimizing stomal stenosis in appendicovesicostomy using the modified umbilical stoma.
abstract: OBJECTIVE
  We describe creation of a modified umbilical stoma as part of continent urinary diversion using appendicovesicostomy.
  
  
  METHODS
  Umbilical stomas were created using the eversion-inversion principle in 25 patients undergoing appendicovesicostomy.
  
  
  RESULTS
  Mean followup was 3 years. Cosmesis of the umbilical stoma was good in all cases. Stomal stenosis required surgical revision in 8% of cases.
  
  
  CONCLUSIONS
  We recommend our modified umbilical stomal technique for appendicovesicostomy because it allows good cosmesis without compromising stomal function.
authors.affiliation: Department of Surgery, Hospital for Sick Children, University of Toronto, Ontario, Canada.
authors.forename: A E
authors.initials: AE
authors.lastname: Khoury
authors.forename: J G
authors.initials: JG
authors.lastname: Van Savage
authors.forename: G A
authors.initials: GA
authors.lastname: McLorie
authors.forename: B M
authors.initials: BM
authors.lastname: Churchill
mesh_terms: D001065:Appendix / Q000601:surgery; D002648:Child; D003251:Constriction, Pathologic / Q000517:prevention & control; D003559:Cystostomy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control; D013997:Time Factors; D014472:Umbilicus / Q000601:surgery*; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects / Q000379:methods*