title: Mini-vesicostomy in the management of PUV after valve ablation.
abstract: OBJECTIVE
  To determine the usefulness of infra-umbilical mini-vesicostomy in infants with posterior urethral valves (PUV), in developing countries. This new technique facilitates clean intermittent catheterization (CIC) and overnight bladder drainage, which have been effectively used for the treatment of valve bladders in the developed world.
  
  
  METHODS
  A retrospective analysis of the records of three infants who underwent a mini-vesicostomy between 2005-2009 was done. All were put on CIC in the neonatal period. Monitoring of renal parameters, bladder function and structural changes in the bladder was done before and after 4 years of CIC.
  
  
  RESULTS
  All three showed a decrease in upper tract dilatation, improvement in cortical function and improvement of bladder compliance at the end of 4 years. Two patients are on CIC through vesicostomy and can pass a good stream of urine per urethraly, and in one the vesicostomy has been closed.
  
  
  CONCLUSIONS
  Mini-vesicostomy is a useful option to allow CIC on a long-term basis in children with PUV. There were no complications with this technique in this small group of patients, and it has been well accepted by their families.
authors.affiliation: Department of Pediatric surgery, Advanced Pediatric Centre, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, UT 160012, India.
authors.forename: Monika
authors.initials: M
authors.lastname: Nanda
authors.forename: Monika
authors.initials: M
authors.lastname: Bawa
authors.forename: K L
authors.initials: KL
authors.lastname: Narasimhan
mesh_terms: D015331:Cohort Studies; D003559:Cystostomy / Q000379:methods*; D003906:Developing Countries; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D057928:Intermittent Urethral Catheterization / Q000379:methods; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D051437:Renal Insufficiency / Q000517:prevention & control; D012189:Retrospective Studies; D018570:Risk Assessment; D016896:Treatment Outcome; D014521:Urethra / Q000002:abnormalities* / Q000601:surgery; D001743:Urinary Bladder / Q000002:abnormalities / Q000601:surgery*; D014563:Urodynamics; D014567:Urography