A neosphincter for continent urinary catheterizable channels made from rectus abdominal muscle (Yachia principle): Preliminary clinical experience in children

A neosphincter for continent urinary catheterizable channels made from rectus abdominal muscle (Yachia principle): Preliminary clinical experience in children

Author Macedo, Antonio Autor UNIFESP Google Scholar
Damazio, Eulalio Autor UNIFESP Google Scholar
Bacelar, Herick Autor UNIFESP Google Scholar
Rondon, Atila Autor UNIFESP Google Scholar
Ottoni, Sergio Autor UNIFESP Google Scholar
Liguori, Riberto Autor UNIFESP Google Scholar
Garrone, Gilmar Autor UNIFESP Google Scholar
Leslie, Bruno Autor UNIFESP Google Scholar
Ortiz, Valdemar Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Purpose: We investigated continence outcomes for patients undergoing primary or redo reconstruction of a urinary catheterizable reservoir involving the Yachia technique of intersecting two rectus abdominis strips over the outlet channel.Materials and methods: A retrospective evaluation of 22 consecutive patients operated from March 2009 to August 2010 was performed, consisting of 16 primary reconstructions (Macedo catheterizable ileal reservoirs) and 6 rescue cases for leaking stomas. Our data comprised 18 spina bifida patients, 1 sacral agenesis, 1 posterior urethral valves and 1 genitourinary tuberculosis. Mean age at surgery was 8.5 years (3-21 years). We evaluated continence at 3, 6, 12 months, and at the last follow-up based on data from urinary charts.Results: Mean follow-up was 21.1 months (12-29 months). Overall continence was 100% for the primary cases and 66% for the redos (2/6 failed). Three patients had initial difficulty in performing clean intermittent catheterization but this resolved with time and experience.Conclusion: Using Yachia's technique has improved the continence rate of our catheterizable reservoirs and was partially successful for suprafascial revision of incontinent conduits. (C) 2012 Journal of Pediatric Urology Company. Published by Elsevier B.V. All rights reserved.
Keywords Mitrofanoff
Appendic-ovesicostomy
Urinary diversion
Language English
Date 2013-06-01
Published in Journal of Pediatric Urology. Oxford: Elsevier B.V., v. 9, n. 3, p. 283-288, 2013.
ISSN 1477-5131 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 283-288
Origin http://dx.doi.org/10.1016/j.jpurol.2012.03.016
Access rights Closed access
Type Article
Web of Science ID WOS:000319498000011
URI http://repositorio.unifesp.br/handle/11600/36394

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