Abstract
The authors developed a new technique using the cecum with in-situ appendix to simultaneously achieve bladder enlargement and continent urinary diversion (CUD) in five cases of neuropathic bladder or serious complications of abdominopelvic trauma. The cecoplasty provides a large-capacity, low-pressure reservoir; the submucosally-embedded appendix gives complete continence with 3 to 5 intermittent catheterizations daily. It is an alternative to the Mitrofanoff principle when bladder augmentation and CUD are necessary, and easier to achieve when faced with a neuropathic bladder where the thickness of the detrusor makes appendicular implantation difficult.
Original language | English |
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Pages (from-to) | 578-583 |
Number of pages | 6 |
Journal | Pediatric Surgery International |
Volume | 17 |
Issue number | 7 |
DOIs | |
Publication status | Published - 2001 |
Keywords
- Appendix
- Bladder augmentation
- Continence mechanism
- Urinary diversion
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health