title: A new technique of bladder enlargement and continent urinary diversion using the ceco-appendicular unit.
abstract: The authors developed a new technique using the cecum with in-situ appendix to simultaneously achieve bladder enlargement and continent urinary diversion (CUD) in five cases of neuropathic bladder or serious complications of abdominopelvic trauma. The cecoplasty provides a large-capacity, low-pressure reservoir; the submucosally-embedded appendix gives complete continence with 3 to 5 intermittent catheterizations daily. It is an alternative to the Mitrofanoff principle when bladder augmentation and CUD are necessary, and easier to achieve when faced with a neuropathic bladder where the thickness of the detrusor makes appendicular implantation difficult.
authors.affiliation: Service de Chirurgie Pédiatrique, Hĵpital Edouard Herriot, Lyon, France.
authors.forename: R
authors.initials: R
authors.lastname: Dubois
authors.forename: A
authors.initials: A
authors.lastname: Bouhafs
authors.forename: G
authors.initials: G
authors.lastname: Pelizzo
authors.forename: P
authors.initials: P
authors.lastname: Carlioz
authors.forename: A F
authors.initials: AF
authors.lastname: Valmalle
authors.forename: H
authors.initials: H
authors.lastname: Dodat
mesh_terms: D000293:Adolescent; D002432:Cecum / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D001743:Urinary Bladder / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*; D013520:Urologic Surgical Procedures