Continent urinary reconstruction in rhabdomyosarcoma: A new approach

Freitas, Ricardo Garcia de; Nobre, Yuri Dantas; Macedo, António; Demarchi, Guilherme T.S.; Ortiz, Valdemar; Srougi, Miguel

doi:10.1016/j.jpedsurg.2004.05.017

Cited by 16 publications

(10 citation statements)

References 7 publications

(6 reference statements)

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“…reported in a cooperative study late effects of bladder/prostate RMS treatment in 164 patients, and again sexual and erectile function were not mentioned [15]. We prefer to create continent catheterizable reservoirs after cystectomy since the prostate cannot be spared in most cases and we have concerns about recurrence of tumor in the urethra [14].…”

Section: Discussionmentioning

confidence: 99%

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Sexual function in teenagers after multimodal treatment of pelvic rhabdomyosarcoma: A preliminary report

Macedo

Ferreira

Barroso

et al. 2010

Journal of Pediatric Urology

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Section: Discussionmentioning

confidence: 99%

“…Patients underwent conventional radiotherapy using a linear accelerator with a À6 mV proton beam during the 9th and 12th weeks. The technique used for the neobladder was an ileal catheterizable pouch, described in detail elsewhere [7,14].…”

Section: Methodsmentioning

confidence: 99%

Sexual function in teenagers after multimodal treatment of pelvic rhabdomyosarcoma: A preliminary report

Macedo

Ferreira

Barroso

et al. 2010

Journal of Pediatric Urology

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“…32 In their work, the authors emphasize the need to use intestinal segments located outside the irradiated area for the creation of continent diversions. This proceeding is supported by the fact that complications, like actinic obliterating endarteritis, can occur in irradiated intestinal segments.…”

Section: Radical Surgerymentioning

confidence: 99%

“…The authors accentuate that their method reduces surgical time and morbidity by excluding the use of the appendix and the tube of Monti. 32 Merguerian et al reported 13 patients with RMS; of which, only three received a continent diversion, two an incontinent diversion, and one an ileocystoplasty for a small noncompliant bladder. 28 There is limited number of literature concerning surgical treatment for RMS with continent cutaneous reservoir.…”

Section: Radical Surgerymentioning

confidence: 99%

A Review on Surgical Techniques and Organ Sparing Procedures in Bladder/Prostate Rhabdomyosarcoma

et al. 2014

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The treatment outcomes in children with bladder/prostate rhabdomyosarcoma (B/P RMS) have considerably improved in the past few decades. Current protocols incorporate chemotherapy, radiotherapy, and surgery (radical or organ sparing). Using this multimodal and multidisciplinary approach, the cure rates for nonmetastatic RMS have gradually increased from 25% in the 1970s, and 70% in the 1990s, to over 80% in the 2000s. Surgery plays a role not only in the diagnosis and management of all stages of B/P RMS, but also in the urinary reconstruction and long-term follow-up. Furthermore, the tendency to avoid mutilating surgery and to preserve functional genitourinary tract has been noticeable. Authors describe the current status and future surgical treatment approaches and possibilities for patients with B/P RMS and how reconstructive urologic surgery in B/P RMS continues to evolve.

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“…Further outlet techniques use bowel flaps (or in continent vesicostomy, bladder flaps) to form a tube in the absence of the appendix [20,35,37,[43][44][45]. Lampel et al [20] reported initially promising results with the use of seromuscular and full-thickness bowel flap tubes.…”

Section: The Flap-valve Principle and Its Variationsmentioning

confidence: 99%

The efferent segment in continent cutaneous urinary diversion: a comprehensive review of the literature

Ardelt

Woodhouse

Riedmiller³

et al. 2011

BJU International

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Study Type – Prognosis (case series) Level of Evidence 4 What’s known on the subject? and What does the study add? While the ileal conduit and orthotopic neobladder are the most commonly used diversions today, continent cutaneous reservoirs remain an invaluable treatment option for a well‐defined subset of indications. After several decades of surgical experience a continuous optimisation process, especially for the continence mechanism, is still ongoing. The continence mechanism largely determines the treatment success in terms of patient satisfaction and quality of life. At present, no consensus has been reached regarding an optimal technique. Common problems include stomal stenosis with impaired catheterisation, urinary incontinence, and nipple gliding. This review critically examines published reports on the various efferent segments used in continent catheterisable urinary reservoirs. It compares data regarding the complications as well as clinical performance. Hence, it provides a valuable comparison and insight into some of the biophysical properties, shortcomings and complications of the different outlets. Also, this view clearly demonstrates that literature evidence for each technique remains poor. OBJECTIVE • To critically assess the biophysical properties and current status of outlet formation in heterotopic intestinal urinary diversion. As despite three decades of clinical experience with continent cutaneous urinary diversion through bowel segments, no consensus has been reached for the optimal efferent segment although its function largely determines patient satisfaction. METHODS • A comprehensive Medline literature search using the Medical Subject Headings database (search terms: continent urinary diversion followed by either efferent segment, nipple, Mitrofanoff, Yang‐Monti, Benchekroun, tapered ileum, intussuscepted ileum, Kock pouch, T‐valve, or Ghonheim) was conducted to identify all full‐length original articles addressing the various principles and techniques of outlet formation as well as their outcomes and complications. • Examined series were published in English between 1966 and 2010. • All studies were systematically evaluated using a checklist (study design, number of patients, etc.) and rated according to the Oxford Centre for Evidence‐Based Medicine Levels of Evidence (LoE). RESULTS • While there was a continuous flow of publications over the last three decades, the vast majority of studies were retrospective case series with numerous confounding factors and poorly defined, non‐standardized outcomes (LoE, 3). Only a few investigations compare different efferent segments (LoE, 2a). • No randomized studies exist. • The major biophysical principles are based on the use of flap, nipple, and hydraulic valves. • Vermiform appendix, intussuscepted ileal nipple, and the Yang‐Monti tube are the most popular techniques and have well‐established data on outcomes, complications, and failure rates. • Artificial sphincter systems and tissue engineering have provided disappointing results thus far. M...

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Continent urinary reconstruction in rhabdomyosarcoma: A new approach

Cited by 16 publications

References 7 publications

Sexual function in teenagers after multimodal treatment of pelvic rhabdomyosarcoma: A preliminary report

Sexual function in teenagers after multimodal treatment of pelvic rhabdomyosarcoma: A preliminary report

A Review on Surgical Techniques and Organ Sparing Procedures in Bladder/Prostate Rhabdomyosarcoma

The efferent segment in continent cutaneous urinary diversion: a comprehensive review of the literature

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