A new technique of bladder enlargement and continent urinary diversion using the ceco-appendicular unit

R. Dubois, A. Bouhafs, G. Pelizzo, P. Carlioz, A. F. Valmalle, H. Dodat

Research output: Contribution to journalArticlepeer-review

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 languageEnglish
Pages (from-to)578-583
Number of pages6
JournalPediatric Surgery International
Volume17
Issue number7
DOIs
Publication statusPublished - 2001

Keywords

  • Appendix
  • Bladder augmentation
  • Continence mechanism
  • Urinary diversion

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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