Dérivation urinaire continente par segment sigmoïdien tubulisé. Une alternative à la dérivation trans-appendiculaire

Translated title of the contribution: Continent urinary diversion by tubulized sigmoid segment. An alternative to transappendicular diversion

Hubert Dodat, Etienne Denis, Gloria Pelizzo, Rémi Dubois, Patrick Carlioz, Yves Chavrier

Research output: Contribution to journalArticle

Abstract

Objective : The authors propose the use of a sigmoid tube reimplanted submucosally in the bladder and brought out onto the skin in the midline or in the umbilicus as a method of continent urinary diversion allowing urinary catheterization several times a day when the appendix cannot be used. Materials and Methods : Three adolescents with neurogenic bladder were treated according to this procedure; the summit of the sigmoid colon loop was selected to form a continent tube from a segment 4 cm wide, opened along its antimesenteric border and sutured longitudinally. Results : The postoperative course was uneventful in all 3 cases. The cystostomy was continent. Catheterizations were easily performed. Conclusion : Creation of a sigmoid tube is an alternative to the use of the appendix for continent urinary diversion according to Mitrofanoff's procedure. This technique can always be performed due to the proximity of the sigmoid colon and bladder, which is not always the case with the appendix. This tube is richly vascularized and presents the advantage of a very narrow mesocolon which does not interfere with creation of the intravesical submucosal tunnel.

Translated title of the contributionContinent urinary diversion by tubulized sigmoid segment. An alternative to transappendicular diversion
Original languageFrench
Pages (from-to)58-61
Number of pages4
JournalProgres en Urologie
Volume8
Issue number1
Publication statusPublished - 1998

Keywords

  • Continent urinary diversion
  • Mitrofanoff's technique
  • Urinary incontinence

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Dodat, H., Denis, E., Pelizzo, G., Dubois, R., Carlioz, P., & Chavrier, Y. (1998). Dérivation urinaire continente par segment sigmoïdien tubulisé. Une alternative à la dérivation trans-appendiculaire. Progres en Urologie, 8(1), 58-61.