title: Button cystostomy for bladder drainage: which children can benefit from this device?
abstract: OBJECTIVE
  The aim of this study is to define which children could benefit from a button cystostomy. We describe a safe way to perform the insertion of a button cystostomy for urinary diversion and provide more precise instructions concerning the best indications for this device.
  
  
  METHODS
  We analyzed several criteria of the follow-up of all the patients who had a button cystostomy since 2007 including indications, age, urodynamic variables, and complications.
  
  
  RESULTS
  Twenty-one patients underwent a button cystostomy. A group of young children was included in the study (mean age, 2 years), in which most of the failed procedures were observed, whereas we had better results with the second group of older children (mean age, 12 years).
  
  
  CONCLUSIONS
  The analysis of indications and, more particularly, urodynamic variables regarding the quality of the results allows us to clearly define which children can benefit from this procedure with a good chance of success and low risk of complications.
authors.affiliation: Pediatric Surgery Department, University Hospital of Strasbourg, 67098 Strasbourg Cedex, France. isabelle.talon2@chru-strasbourg.fr
authors.forename: Isabelle
authors.initials: I
authors.lastname: Lacreuse
authors.forename: Raphaël
authors.initials: R
authors.lastname: Moog
authors.forename: Francesca
authors.initials: F
authors.lastname: Borruto
authors.forename: François
authors.initials: F
authors.lastname: Becmeur
authors.forename: Cindy
authors.initials: C
authors.lastname: Gomes Ferreira
authors.forename: Isabelle
authors.initials: I
authors.lastname: Kauffmann
mesh_terms: D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D003559:Cystostomy / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D016896:Treatment Outcome; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*