Construction of continent catheterizable urinary conduit from an isolated segment of colon.
BACKGROUND
Continent urinary diversion may be necessary in a range of urological abnormalities. In circumstances where the standard techniques are not possible, alternative innovative techniques may be used.


METHODS
In a female patient with bladder exstrophy, a continent diversion was recommended. The appendix was not available, the ureters were not suitable and a continent stoma was fashioned from an isolated segment of colon.


RESULTS
The stoma proved to be continent, although it was somewhat stenotic. However, clean intermittent catheterization maintained its patency.


CONCLUSIONS
A continent catheterizable stoma may be constructed from a segment of colon. The technique may be considered when other well recognized methods are not feasible.
Sen
S
S
Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Ahmed
S
S
D001746:Bladder Exstrophy / Q000601:surgery*; D002648:Child; D003106:Colon / Q000601:surgery; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods; D014546:Urinary Catheterization; D016476:Urinary Reservoirs, Continent