Umbilical grafting in treatment of recurrent stomal stenosis.
OBJECTIVE
The continent catheterizable conduit was first described by Mitrofanoff and is a good option for treating patients with urinary incontinence of different etiologies and those unable to perform transurethral self-catheterization. Stomal stenosis is the most common minor complication involved in this procedure and often is not an easily dealt with problem. Stenosis has a tendency to recur, and the surgical approach becomes progressively more difficult because of local fibrosis and retraction. We present our initial experience with a new surgical technique involving umbilical grafting for the treatment of stomal and urethral meatal stenosis.


METHODS
Four female patients who presented with either recurrent stomal or urethral meatal stenosis underwent a new surgical approach with umbilical grafting for treatment. We present the results of this new technique.


RESULTS
The initial clinical results of this innovative technique, at a median of 4 months of follow-up, showed that all 4 patients remained continent and mostly satisfied with their voiding pattern.


CONCLUSIONS
The results of our study have shown that umbilical grafting is a viable option for the treatment of recurrent stomal and urethral stenosis.
Levi D'Ancona
Carlos Arturo
CA
Division of Urology and Plastic Surgery, Campinas State University-Unicamp Medical Sciences School, Campinas, São Paulo, Brazil.
Miyaoka
Ricardo
R
Ikari
Lia Yumi
LY
Nunes
Paulo Henrique Facchina
PH
D000328:Adult; D000368:Aged; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D054047:Surgical Stomas / Q000009:adverse effects; D014472:Umbilicus / Q000637:transplantation*; D014525:Urethral Stricture / Q000209:etiology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*