The same-pedicle concept for continent urinary diversion using a Yang-Monti reconfigured tube.
OBJECTIVE
To facilitate the anastomosis of a continent valve to the umbilicus or a suitable skin area, we used a reconfigured tube made from the same segment of the intestinal reservoir as that used to construct the urinary pouch.


METHODS
Seven patients underwent continent ileal-pouch formation using a reconfigured ileal tube following cystectomy for bladder cancer. Two irradiated patients and 1 patient with neurogenic bladder underwent continent colon-pouch construction with a reconfigured colon tube.


RESULTS
The average length of the reconfigured ileal tube was 5 cm, while the colon tube was maximally 10 cm long. All procedures were technically straightforward. All the continent pouches functioned well, without catheterization difficulties.


CONCLUSIONS
Since the Yang-Monti tube and the pouch are easily mobilized, being based on the same vascular pedicle, and can therefore bridge the gap, making the umbilical anastomosis was greatly facilitated. Sufficient support for the tube is provided by the pouch.
Kato
Haruaki
H
Departmentof Urology, Shinshu University School of Medicine, Matsumoto, Japan.
Igawa
Yasuhiko
Y
Nishizawa
Osamu
O
D000328:Adult; D003106:Colon / Q000601:surgery; D015653:Cystectomy; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D008875:Middle Aged; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*; D016476:Urinary Reservoirs, Continent