What is important for continent catheterizable stomas: angulations or extension?

Vilela, Marcelo L.; Furtado, Geovanne S.; Koh, Ivan Hong Jun; Poli-Figueiredo, Luiz F.; Ortiz, Valdemar; Srougi, Miguel; Macedo, António

doi:10.1590/s1677-55382007000200018

Cited by 8 publications

(2 citation statements)

References 8 publications

(4 reference statements)

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“…We learned from previous experience that angulation of the tube over bladder dome plays a significant role to promote continence. ( 15 ) To enhance resistance we sought for alternatives. We found the Yachia technique, rectal muscle crossing over the tube.…”

Section: Discussionmentioning

confidence: 99%

Late secondary urological reconstruction of separated ischiopagus twins with exstrophic bladder and urinary incontinence

Macedo¹,

Cruz²

2018

Einstein (São Paulo)

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We report a case of secondary urinary reconstruction of previously separated conjoined twins with exstrophic bladder and urinary incontinence. Patients were male and aged 13-year-old. Twin one had a history of failed enterocystoplasty that extruded and was visible like an exstrophic neobladder. He underwent a procedure to close bladder neck and reconfigure abdominal wall. After the procedure the patient developed a fistula that was treated, but it persisted and, for this reason, a catheterizable pouch was constructed and native bladder was discarded. Twin two required the immediately construction of catheterizable pouch using the Macedo’s technique. Currently, both patients are continent at 4 hour intervals. The mean follow-up was 8 months. Modern continent urinary diversion techniques offer new perspectives and hope for such complex population.

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Section: Discussionmentioning

confidence: 99%

Late secondary urological reconstruction of separated ischiopagus twins with exstrophic bladder and urinary incontinence

Macedo¹,

Cruz²

2018

Einstein (São Paulo)

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“…[1][2][3] In the almost 150 continent stomas we performed, a semicircular skin incision can produce a short conical skin tube with a V shape in the anastomotic area to the outlet channel of the reservoir that will end in a nice inverted umbilical stoma without mucous lining and with a complication rate similar to that of other techniques.…”

Section: Editorial Commentmentioning

confidence: 99%

Editorial Comment

Macedo

2007

Journal of Urology

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11. Mor Y, Quinn FM, Carr B, Mouriquand PD, Duffy PG and Ransley PG: Combined Mitrofanoff and antegrade continence enema procedures for urinary and fecal incontinence. J Urol 1997; 158: 192. 12. Van Savage JG, Khoury AE, McLorie GA and Churchill BM: Outcome analysis of Mitrofanoff principle applications using appendix and ureter to umbilical and lower quadrant stomal sites. J Urol 1996; 156: 1794. 13. Greenwell TJ, Venn SN, Creighton S, Leaver RB and Woodhouse CRJ: Pregnancy after lower urinary tract reconstruction for congenital abnormalities. BJU Int 2003; 92: 773.

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Ten years' minimum follow-up with the ileal continent catheterizable reservoir: A test of time

Macedo

Damázio

Bacelar

et al. 2013

Journal of Pediatric Urology

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What is important for continent catheterizable stomas: angulations or extension?

Abstract: The study showed that angulation of channel with colon, maintained by only one stitch (0.5 cm imbrication) was more important than a larger extension of the valve, represented by 3 suture stitches (1.5 cm imbrication) in order to allow continence to the efferent channel.

Cited by 8 publications

References 8 publications

Late secondary urological reconstruction of separated ischiopagus twins with exstrophic bladder and urinary incontinence

Late secondary urological reconstruction of separated ischiopagus twins with exstrophic bladder and urinary incontinence

Editorial Comment

Ten years' minimum follow-up with the ileal continent catheterizable reservoir: A test of time

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