Elective appendicovesicostomy in association with monfort abdominoplasty in the treatment of prune belly syndrome

Elective appendicovesicostomy in association with monfort abdominoplasty in the treatment of prune belly syndrome

Author Liguori, Riberto Autor UNIFESP Google Scholar
Barroso Jr, Ubirajara Autor UNIFESP Google Scholar
Matos, Joao T. Autor UNIFESP Google Scholar
Ottoni, Sergio L. Autor UNIFESP Google Scholar
Garrone, Gilmar Autor UNIFESP Google Scholar
Demarchi, Guilherme T. Autor UNIFESP Google Scholar
Ortiz, Valdemar Autor UNIFESP Google Scholar
Macedo Jr, Antonio Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Federal University of Bahia Division of Urology
Abstract OBJECTIVE: To evaluate the role of elective appendicovesicostomy in association with Monfort abdominoplasty to avoid urinary tract infection (UTI) and renal damage in the post-operative follow-up of patients with prune belly syndrome. MATERIALS AND METHODS: We followed 4 patients operated in our institution (UNIFESP) (Monfort, orchidopexy and Mitrofanoff) and compared them to 2 patients treated similarly, but without an appendicovesicostomy, in a second institution (UFBA). We evaluated postoperative clinical complications, UTI and preservation of renal parenchyma. Patients were followed as outpatients with urinalysis, ultrasonography (US) and occasionally with renal scintigraphy. RESULTS: Mean follow-up was 23.5 months. Immediate post-operative course was uneventful. We observed that only one patient with the Mitrofanoff channel persisted with UTI, while the 2 patients used as controls persisted with recurrent pyelonephritis (> 2 UTI year). CONCLUSION: Our data suggest that no morbidity was added by the appendicovesicostomy to immediate postoperative surgical recovery and that this procedure may have a beneficial effect in reducing postoperative UTI events and their consequences by reducing the postvoid residuals in the early abdominoplasty follow-up. However, we recognize that the series is small and only a longer follow-up with a larger number of patients will allow us to confirm our suppositions. We could not make any statistically significant assumptions regarding differences in renal preservation due to the same limitations.
Keywords bladder
prune belly syndrome
surgical procedures, operative
urinary tract infections
Language English
Date 2006-12-01
Published in International braz j urol. Sociedade Brasileira de Urologia, v. 32, n. 6, p. 689-696, 2006.
ISSN 1677-5538 (Sherpa/Romeo)
Publisher Sociedade Brasileira de Urologia
Extent 689-696
Origin http://dx.doi.org/10.1590/S1677-55382006000600010
Access rights Open access Open Access
Type Article
SciELO ID S1677-55382006000600010 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/3389

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