Please use this identifier to cite or link to this item: https://scidar.kg.ac.rs/handle/123456789/12908
Title: Long-term outcomes of catheterizable continent urinary diversion in children
Authors: Paunovic, Milan
Krstic, Zoran
Đorđević, Miroslav
Vukadinović, Vojkan
Paunović, Svetlana
Issue Date: 2020
Abstract: © 2020, Serbia Medical Society. All rights reserved. Introduction/Objective The use of bladder augmentation and/or continent urinary diversion has gained wide acceptance, particularly in children with small, abnormally developed bladder or high-pressure bladder that poses great risk for renal deterioration and incontinence. We discuss indications, results, and complications with various types of continent vesicostomy (CV) in children. Methods Sixty-eight patients with CV are retrospectively reviewed (51 boys and 17 girls) 1987–2008. The median follow-up time was 17.8 years (3–22 years). CV included appendicovesicostomy in 31 (41.3%), vesicostomy with distal ureter in 27 (36.0%), and preputial CV in 10 (13.3%) patients. CV in patients with augmented bladder was in 18 (26.47%) children. The indications for performing CV were various types of neurogenic and myogenic dysfunctions of urine bladder with incontinence due to the following pathoanatomical substrates: anomalies of the brain–spine segment development (27), bladder exstrophy (10), posterior urethral valve (15), expansive processes (4), and other anatomical defects in 12 patients. Results Continence was achieved in 94.64% of the cases, without statistically significant difference between particular types of the stoma (p = 0.065). Early complications included stoma necrosis, stoma bleeding, peristomal infection in 5/68 (7.35%) patients, and late complications included calculosis, in 20/68 (29.4%), stomal stenosis, in 8/68 (11.5%), and difficulties of catheterization, in 3/68 patients (4.08%). Calculosis was predominant in appendicovesicostomy (p = 0.012). Conclusion CV is a safe procedure applied with the main purposes of achieving continence, preservation of renal function, and improvement of the quality of life, along with an acceptably low rate of complications.
URI: https://scidar.kg.ac.rs/handle/123456789/12908
Type: article
DOI: 10.2298/SARH180731104P
ISSN: 0370-8179
SCOPUS: 2-s2.0-85083826495
Appears in Collections:Faculty of Medical Sciences, Kragujevac

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