Continent urinary diversion using preputial penile or clitoral skin flap.
OBJECTIVE
We report our efforts to create an ideal continent urinary catheterizable stoma.


METHODS
Our approach includes the creation of a continent stoma using a preputial penile island skin flap in male patients and a preputial clitoral island skin flap in female patients. The flaps are transposed suprapubically, tubularized and implanted in a nonrefluxing manner into the bladder or other urinary reservoir.


RESULTS
From 1994 to April 1995 the technique was performed in 14 male patients 4 months to 42 years old and 7 female patients 4 to 14 years old. Early results were satisfactory at 2 to 12 months of follow up (mean 6).


CONCLUSIONS
This technique could be an alternative to other methods of urinary continent diversion.
Perovic
S
S
Department of Urology, University Children's Hospital, Belgrade, Yugoslavia.
D000293:Adolescent; D000328:Adult; D001746:Bladder Exstrophy / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D002987:Clitoris; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010413:Penis; D013524:Surgical Flaps; D001750:Urinary Bladder, Neurogenic / Q000601:surgery; D016476:Urinary Reservoirs, Continent / Q000379:methods*