A new technique of bladder enlargement and continent urinary diversion using the ceco-appendicular unit.
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.
Dubois
R
R
Service de Chirurgie Pédiatrique, Hĵpital Edouard Herriot, Lyon, France.
Bouhafs
A
A
Pelizzo
G
G
Carlioz
P
P
Valmalle
A F
AF
Dodat
H
H
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