Is continent urinary diversion feasible in children under five years of age?

Is continent urinary diversion feasible in children under five years of age?

Author Barbosa, Luiz L. Autor UNIFESP Google Scholar
Liguori, Riberto Autor UNIFESP Google Scholar
Ottoni, Sergio L. Autor UNIFESP Google Scholar
Barroso Jr, Ubirajara Autor UNIFESP Google Scholar
Ortiz, Valdemar Autor UNIFESP Google Scholar
Macedo Junior, Antonio Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Purpose: To review our clinical experience with urinary continent catheterizable reservoir in children under five years of age. Materials and Methods: A total of 23 patients (16 males, 7 females) with a median age of 3.64 years were evaluated. Among these, 6 (26.08%) had a posterior urethral valve, 9 (39.13%) myelomeningocele, 4 (17.39%) bladder exstrophy, 2 (8.69%) genitourinary rabdomyosarcoma, 1 (4.34%) had spinal tumor and 1 (4.34%) an ano-rectal anomaly. Results: Perioperative complications were observed in four patients consisting of one febrile urinary tract infection, one partial operative wound dehiscence, one partial stomal dehiscence and one vesico-cutaneous fistula after a secondary exstrophy repair. The overall long-term complications rate was 40.90% and consisted of two stomal stenoses (9.09%), one neobladder mucosal extrusion (4.54%), three neobladder calculi (13.63%) and persistence of urinary incontinence in three patients (13.63%). The overall surgical revision was 36.36% and final continence rate was 95.45% with mean follow-up of 39.95 months Conclusion: Continent urinary diversion is technically feasible even in small children, with acceptable rates of complications.
Keywords children
congenital anomalies
urinary diversion
continence
Language English
Date 2009-08-01
Published in International braz j urol. Sociedade Brasileira de Urologia, v. 35, n. 4, p. 459-466, 2009.
ISSN 1677-5538 (Sherpa/Romeo, impact factor)
Publisher Sociedade Brasileira de Urologia
Extent 459-466
Origin http://dx.doi.org/10.1590/S1677-55382009000400010
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000283287400016
SciELO ID S1677-55382009000400010 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/5140

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