title: Continent catheterizable conduit for urinary diversion in children: Applicability and acceptability.
abstract: BACKGROUND
  Continent catheterizable conduit (CCC) has made clean intermittent catheterization (CIC) painless and easy. It is applicable in diverse clinical conditions. Nonetheless, convincing the parents for the need of conduit procedure is still difficult.
  
  
  METHODS
  A prospective study, included children who underwent CCC procedure from March 2008 to February 2013. The data were assessed for; diagnosis, type of conduit, number of preoperative counselling sessions before acceptance, role of "self-help group" in decision making, parental concern and satisfaction for the procedure.
  
  
  RESULTS
  Twenty-nine patients (males; 24, females; 5) underwent CCC procedure for various clinical conditions. The multiple preoperative counselling sessions and creation of "self-help groups" were helped them for decision making. The main concerns among parents were: (1) Impact of procedure on future fertility and sexual life. (2) Patency of native urethral channel. (3) Permanent urinary stoma over the abdomen.
  
  
  CONCLUSIONS
  CCC procedures are applicable to a wide array of clinical situations with a good outcome. The acceptability of the CCC procedure improves with preoperative counselling of parent/child, initiation of preoperative per urethral CIC and creation of self-help groups.
authors: Department of Pediatric Surgery, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.
authors: Shailesh
authors: S
authors: Solanki
authors: Muniamjanappa Narendra
authors: MN
authors: Babu
authors: Vinay
authors: V
authors: Jadhav
authors: Gowri
authors: G
authors: Shankar
authors: Santhanakrishnan
authors: S
authors: Ramesh
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D017060:Patient Satisfaction; D011300:Preoperative Care; D011446:Prospective Studies; D012017:Referral and Consultation; D014546:Urinary Catheterization / Q000379:methods*; D014547:Urinary Diversion / Q000379:methods*; D016476:Urinary Reservoirs, Continent