Continent urinary reconstruction in rhabdomyosarcoma: a new approach.
OBJECTIVE
The authors present here 5 cases of continent urinary diversion in rhabdomyosarcoma applying a recently described technique for the Mitrofanoff Principle devised by the authors.


METHODS
Two previously irradiated rhabdomyosarcoma patients presenting with residual bladder disease and massive sensitive urinary urgency underwent a transverse colonic reservoir with catheterizable stoma. Two other patients presenting with a Bricker conduit underwent conversion into an ileal reservoir. One patient underwent reconstruction after a cystectomy.


RESULTS
All patients were continent and able to perform continent intermittent catheterization.


CONCLUSIONS
The technique proved to be feasible for this group of patients. The authors believe that because of its simplicity, it should be an option of continent urinary diversion when the Mitrofanoff Principle is considered.
Freitas
Ricardo G
RG
Division of Pediatric Urology, Department of Surgery/Pediatrics, Federal University of São Paulo, São Paulo, Brazil.
Nobre
Yuri T Dantas A
YT
Macedo
Antonio
A
Demarchi
Guilherme T S
GT
Ortiz
Valdemar
V
Srougi
Miguel
M
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant / Q000009:adverse effects; D002648:Child; D002675:Child, Preschool; D044684:Colon, Transverse / Q000601:surgery; D039021:Colonic Pouches; D003131:Combined Modality Therapy; D003520:Cyclophosphamide / Q000008:administration & dosage; D015653:Cystectomy; D003609:Dactinomycin / Q000008:administration & dosage; D017809:Fatal Outcome; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D011471:Prostatic Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery; D018714:Radiotherapy, Adjuvant; D012208:Rhabdomyosarcoma / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery*; D018232:Rhabdomyosarcoma, Alveolar / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery; D018805:Sepsis / Q000209:etiology; D014523:Urethral Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery; D014546:Urinary Catheterization; D014547:Urinary Diversion / Q000379:methods*; D014552:Urinary Tract Infections / Q000209:etiology; D014565:Urogenital Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery*; D014625:Vaginal Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery; D014750:Vincristine / Q000008:administration & dosage
D003609:Dactinomycin; D014750:Vincristine; D003520:Cyclophosphamide