Indiana pouch in children: A 15-year experience

Chowdhary, S. K.; Rao, K. L. N.; Kandpal, Deepak K; Sibal, Anupam; Srivastava, Rajendra

doi:10.1016/j.jpurol.2014.02.009

Cited by 7 publications

(5 citation statements)

References 10 publications

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“…[13] After our initial experience and success with robotic surgery in children over several other complex surgeries of the upper and lower tract including heminephrectomy, uretero-uretrostomy, vaginoplasty, it was natural to extend its application to complex reconstruction like ileocystoplasty.…”

Section: Discussionmentioning

confidence: 99%

“…We were performing five to six augmentation ileocystoplasty and two to three Indiana pouch for complex problems of the lower urinary tract every year over the last 10 years. [ 13 ] After our initial experience and success with robotic surgery in children over several other complex surgeries of the upper and lower tract including heminephrectomy, uretero-uretrostomy, vaginoplasty, it was natural to extend its application to complex reconstruction like ileocystoplasty.…”

Section: Discussionmentioning

confidence: 99%

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Robotic augmentation ileocystoplasty with bilateral ureteric reimplantation in a young child with neuropathic bladder

Chowdhary

Kandpal

Agarwal

et al. 2014

J Indian Assoc Pediatr Surg

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Neuropathic bladder in children is most commonly secondary to spina bifida. The management starts early in life. The modalities of treatment vary depending on the severity of the symptoms. A proportion of children inspite of adequate medical management need augmentation ileocystoplasty later in life. The open surgery has proven safety and success over many decades. Earlier attempts to perform augmentation cystoplasty by the laparoscopic approach were limited by steep learning curve, long operating times, and technical difficulties in intracorporeal anastomosis. The emergence of robotic technology has revived the interest in minimally invasive approach for complex pediatric urological reconstructions. In the recent times, there has been only one reported case report and small series of pediatric robotic augmentation cystoplasty from Chicago. We report the first minimally invasive robotic reconstruction in a child with neuropathic bladder and early renal decompensation despite appropriate medical treatment, from our country.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Robotic augmentation ileocystoplasty with bilateral ureteric reimplantation in a young child with neuropathic bladder

Chowdhary

Kandpal

Agarwal

et al. 2014

J Indian Assoc Pediatr Surg

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“…Ileal neobladders have a smaller initial capacity, but there is a lower risk of diarrhea and vitamin B 12 absorption problems secondary to preservation of the terminal ileum and the ileocecal valve, as compared with colonic neobladders (49). A low-pressure reservoir is also an important feature of the reservoir (50)(51)(52), and the ileum has been found to be the least contractile segment of bowel (53).…”

Section: Continent Diversion With Anastomosis To Native Urethra: Orthmentioning

confidence: 99%

Follow the Stream: Imaging of Urinary Diversions

Moomjian¹,

Carucci²,

Guruli³

et al. 2016

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Urinary diversion is a surgical technique to redirect the stream of urine, most often after cystectomy. Cystectomy may be performed both for benign and for malignant conditions. Bladder cancer is the most common indication for cystectomy, and most patients who undergo radical cystectomy and urinary diversion have muscle-invasive or high-risk non-muscle-invasive bladder cancer. There are two major surgical approaches for urinary diversions performed after radical cystectomy: continent and incontinent diversions. For incontinent urinary diversions, a cutaneous ostomy is used for continuous urine drainage (eg, ileal conduit). With a continent diversion procedure, the patient may void through the native urethra or self-catheterize through a surgically created stoma. The goals of imaging after urinary diversion are to assess postoperative anatomy, detect postoperative complications, evaluate for residual or recurrent tumor and metastatic disease, and monitor for upper tract distention and/or deterioration. Multiple imaging modalities and techniques may be used to evaluate urinary diversions, including computed tomographic and magnetic resonance urography, intravenous pyelography, ultrasonography, pouchography, loopography, and nephrostomy studies. Knowledge of the expected postoperative appearance after urinary diversions and potential postoperative complications is crucial because many complications may be clinically silent. Radiologists must be able to recognize the expected postoperative appearance as well as complications to facilitate appropriate diagnosis and treatment of patients after cystectomy and urinary diversion. (©)RSNA, 2016.

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“…Ввиду большого объема и низкого давления в неоцистисе, мочевой рефлюкс наблюдается достаточно редко, что также один из важнейших плюсов подобных операций. К недостаткам можно отнести техническую сложность и продолжительность вмешательств, высокую вероятность образования конкрементов в созданном резервуаре и вторичную диарею после резекции илеоцекального отдела кишечника [20].…”

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Modern view on the problem of urine diversion in children with severe urinary disorders

Ignatyev

Гусева

Борисовна³

et al. 2021

Russian Journal of Pediatric Surgery, Anesthesia and Intensive

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Urination is a complex multicomponent process. Urinary disorders often lead to serious consequences on the urinary system, social maladaptation, and impairment of the quality of children's lives. Due to the large number of pathologies leading to these disorders and the involvement of several systems (for example, the nervous system in myelodysplasia), the doctor must be extensively knowledgeable and experienced in related fields. Surgical methods of urinary diversion have a long history. Surgeons worldwide have been trying to solve this problem for many decades, but it remains relevant and unsolved. The wide variety of urinary disorders has a correspondingly impressive number of types and options of surgical interventions. The goals of these surgical techniques are to correct the anatomical and clinical aspects of the disorders and assure the childs socio-psychological adaptation. Surgeons must consider many factors such as all the pathogenetic nuances of an underlying disease, comorbidities, the childs constitutional features, prospects for his or her social adaptation, the family home environment, parents willingness to and focus on long and challenging treatment. Based on these details, it is evident that urinary diversion in children is a multifaceted problem. It requires a very careful and individualized approach to each patient to ensure choosing the optimal treatment method in each case. This choice will affect many aspects of the childs life, including his or her social adaptation, the ability to obtain an education and lead an almost normal lifestyle. The aim of this study is to review and systematize the accumulated knowledge on this subject.

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Indiana pouch in children: A 15-year experience

Cited by 7 publications

References 10 publications

Robotic augmentation ileocystoplasty with bilateral ureteric reimplantation in a young child with neuropathic bladder

Robotic augmentation ileocystoplasty with bilateral ureteric reimplantation in a young child with neuropathic bladder

Follow the Stream: Imaging of Urinary Diversions

Modern view on the problem of urine diversion in children with severe urinary disorders

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