title: Transverse retubularized ileovesicostomy continent urinary diversion to the umbilicus.
abstract: The transverse retubularized ileovesicostomy is useful as a continent urinary diversion when the appendix is unusable or unavailable for an appendicovesicostomy continent urinary diversion. Eight patients (mean age 29 years) with difficulty catheterizing their native urethras underwent creation of a transverse retubularized ileovesicostomy continent urinary diversion to the umbilicus. Diagnoses included myelomeningocele (3), multiple sclerosis (1), and spinal cord injury (4). Concomitant procedures included ileocystoplasty, antegrade continence enema procedure, and pubovaginal sling. All patients were able to catheterize their ileovesicostomy conduit and stoma easily with a 14F catheter. Six patients were completely dry, and two patients needed to catheterize every 3 to 4 hours to prevent urinary leakage. Mean follow-up was 3 years. Experience with the transverse retubularized ileovesicostomy continent urinary diversion to the umbilicus has been favorable. When the Mitrofanoff appendicovesicostomy continent urinary diversion is not an option, the transverse retubularized ileovesicostomy has several advantages as a second choice.
authors.affiliation: Department of Surgery, University of Louisville School of Medicine, Kentucky 40292, USA. jgvans01@athena.louisville.edu
authors.forename: J G
authors.initials: JG
authors.lastname: Van Savage
authors.forename: M B
authors.initials: MB
authors.lastname: Chancellor
authors.forename: B
authors.initials: B
authors.lastname: Slaughenhoupt
mesh_terms: D000293:Adolescent; D000328:Adult; D003559:Cystostomy / Q000379:methods; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014472:Umbilicus / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*; D014549:Urinary Incontinence / Q000601:surgery*; D016476:Urinary Reservoirs, Continent