Skip to main content
Erschienen in: World Journal of Urology 3/2003

01.08.2003 | Topic Paper

Continent bladder stoma

verfasst von: Nigel Timothy Dunglison, Robert Alexander Gardiner

Erschienen in: World Journal of Urology | Ausgabe 3/2003

Einloggen, um Zugang zu erhalten

Abstract

The formation of an aesthetically desirable urinary diversion through a continent bladder stoma requires a long-term commitment by both patient and urologist to monitoring patient progress and addressing problems, both urological and otherwise, which arise over time. In this manuscript, issues relating to physical aspects of surgical management are discussed. These include the nature of and siting of the stoma and its catheterising track, the continence mechanism, provision of a low-pressure storage system of adequate capacity and management of the bladder neck/urethra when incompetent. It is imperative that careful patient selection is practised at the outset when such surgery is contemplated, otherwise a satisfactory outcome is unlikely to ensue irrespective of the procedural skills employed operatively.
Literatur
1.
Zurück zum Zitat Benchekroun A (1977) Continent caecal bladder. Eur Urol 3:248–250PubMed Benchekroun A (1977) Continent caecal bladder. Eur Urol 3:248–250PubMed
2.
Zurück zum Zitat Cumming J, Worth PHL, Woodhouse CRJ (1987) The choice of suprapubic continent catheterisable urinary stoma. Br J Urol 60:227–230PubMed Cumming J, Worth PHL, Woodhouse CRJ (1987) The choice of suprapubic continent catheterisable urinary stoma. Br J Urol 60:227–230PubMed
3.
Zurück zum Zitat Das S, Amar AD (1986) Abdominal transposition of the female urethra. J Urol 135:373–375PubMed Das S, Amar AD (1986) Abdominal transposition of the female urethra. J Urol 135:373–375PubMed
4.
Zurück zum Zitat De Ganck J, Everaert K, Van Laecke E, Oosterlinck W, Hoebeke P (2002) A high easy-to-treat complication rate is the price for a continent stoma. BJU Int 90:240–243CrossRefPubMed De Ganck J, Everaert K, Van Laecke E, Oosterlinck W, Hoebeke P (2002) A high easy-to-treat complication rate is the price for a continent stoma. BJU Int 90:240–243CrossRefPubMed
5.
Zurück zum Zitat Duckett JW, Snyder HMIII (1986) Use of the Mitrofanoff principle in urinary reconstruction. Urol Clin North Am 13:271–274PubMed Duckett JW, Snyder HMIII (1986) Use of the Mitrofanoff principle in urinary reconstruction. Urol Clin North Am 13:271–274PubMed
6.
Zurück zum Zitat Ferrara P, d'Alea CM, Tarquini E, Salvatore S, Salvaggio E (2001) Side effects of oral or intravesical oxybutynin chloride in children with spina bifida. BJU Int 87:674–678CrossRefPubMed Ferrara P, d'Alea CM, Tarquini E, Salvatore S, Salvaggio E (2001) Side effects of oral or intravesical oxybutynin chloride in children with spina bifida. BJU Int 87:674–678CrossRefPubMed
7.
Zurück zum Zitat Gardiner RA (1994) The invaginated sleeve technique for a continent cystostomy: five years' clinical experience Br J Urol 74:35–39 Gardiner RA (1994) The invaginated sleeve technique for a continent cystostomy: five years' clinical experience Br J Urol 74:35–39
8.
Zurück zum Zitat Gerharz EW, Woodhouse CR (1998) The transverse ileal tube as second-line modification of the Mitrofanoff principle. World J Urol 16:231–234CrossRefPubMed Gerharz EW, Woodhouse CR (1998) The transverse ileal tube as second-line modification of the Mitrofanoff principle. World J Urol 16:231–234CrossRefPubMed
9.
Zurück zum Zitat Gilchrist RK, Merricks JW, Hamlin HH, Rieger IT (1950) Construction of substitute bladder and urethra. Surg Gynecol Obstet 90:752–760 Gilchrist RK, Merricks JW, Hamlin HH, Rieger IT (1950) Construction of substitute bladder and urethra. Surg Gynecol Obstet 90:752–760
10.
Zurück zum Zitat Goldwasser B, Benchaim J, Golomb J, Leibovitch I, Mor Y, Avigad I (1993) Bladder neck closure with an Indiana stoma outlet as a technique for continent vesicostomy. Surg Gynecol Obstet 177:448–450PubMed Goldwasser B, Benchaim J, Golomb J, Leibovitch I, Mor Y, Avigad I (1993) Bladder neck closure with an Indiana stoma outlet as a technique for continent vesicostomy. Surg Gynecol Obstet 177:448–450PubMed
11.
Zurück zum Zitat Griffiths IH (1960) Anterior transposition of the urethra. Br J Urol 32:27–31 Griffiths IH (1960) Anterior transposition of the urethra. Br J Urol 32:27–31
12.
Zurück zum Zitat Hanna MK, Richter F, Stock JA (1999) Salvage continent vesicostomy after enteroplasty in the absence of appendix. J Urol 162:826–828PubMed Hanna MK, Richter F, Stock JA (1999) Salvage continent vesicostomy after enteroplasty in the absence of appendix. J Urol 162:826–828PubMed
13.
Zurück zum Zitat Hohenfellner M, Fahle H, Dahms S, Linn JF, Hutschenreiter, Thűroff JW (1996) Continent reconstruction of detrusor hyperreflexia by sacral bladder denervation combined with continent vesicostomy Urology 47:930–931CrossRef Hohenfellner M, Fahle H, Dahms S, Linn JF, Hutschenreiter, Thűroff JW (1996) Continent reconstruction of detrusor hyperreflexia by sacral bladder denervation combined with continent vesicostomy Urology 47:930–931CrossRef
14.
Zurück zum Zitat Kock NG, Nilson AE, Norlen L, Sundin T, Trasti H (1978) Changes in renal parenchyma and upper urinary tracts following urinary diversion via a continent ileum reservoir: an experimental study in dogs Scand J Urol Nephrol 49 (Suppl):11–22 Kock NG, Nilson AE, Norlen L, Sundin T, Trasti H (1978) Changes in renal parenchyma and upper urinary tracts following urinary diversion via a continent ileum reservoir: an experimental study in dogs Scand J Urol Nephrol 49 (Suppl):11–22
15.
Zurück zum Zitat Kock NG, Nilsen AE, Nilsen LO, Norlén LJ, Philipson BM (1982) Urinary diversion via a continent ileal reservoir: clinical results in 12 patients. J Urol 128:469–475PubMed Kock NG, Nilsen AE, Nilsen LO, Norlén LJ, Philipson BM (1982) Urinary diversion via a continent ileal reservoir: clinical results in 12 patients. J Urol 128:469–475PubMed
16.
Zurück zum Zitat Koff SA (1985) The abdominal neourethra in children: technique and long-term results. J Urol 133:244–247PubMed Koff SA (1985) The abdominal neourethra in children: technique and long-term results. J Urol 133:244–247PubMed
17.
Zurück zum Zitat Koff SA, Cirulli C, Lucero SP, Hamoudi A (1987) An operation to create a continent catheterizable urinary sphincter from a short intestinal segment: experimental observations. J Urol 138: 996–999PubMed Koff SA, Cirulli C, Lucero SP, Hamoudi A (1987) An operation to create a continent catheterizable urinary sphincter from a short intestinal segment: experimental observations. J Urol 138: 996–999PubMed
18.
Zurück zum Zitat Lapides J (1966) The abdominal neourethra. J Urol 95:350–355PubMed Lapides J (1966) The abdominal neourethra. J Urol 95:350–355PubMed
19.
Zurück zum Zitat Liard A, Séguier-Lipszyc, Mathiot A, Mitrofanoff P (2001) The Mitrofanoff procedure: 20 years later. J Urol 165:2394–2398PubMed Liard A, Séguier-Lipszyc, Mathiot A, Mitrofanoff P (2001) The Mitrofanoff procedure: 20 years later. J Urol 165:2394–2398PubMed
20.
Zurück zum Zitat Madersbacher H (2002) Neurogenic bladder dysfunction in patients with myelomeningocele. Curr Opin Urol 12:469–472CrossRefPubMed Madersbacher H (2002) Neurogenic bladder dysfunction in patients with myelomeningocele. Curr Opin Urol 12:469–472CrossRefPubMed
21.
Zurück zum Zitat Malone PS, Ransley PG, Kiely EM (1990) Preliminary report: the antegrade continence enema. Lancet 336:1217–1218PubMed Malone PS, Ransley PG, Kiely EM (1990) Preliminary report: the antegrade continence enema. Lancet 336:1217–1218PubMed
22.
Zurück zum Zitat Merguerian PA, Reddy PP, Barrieras DJ, Wilson GJ, Woodhouse K, Bagli DJ, McLorie GA, Khoury AE (2000) Acellular bladder matrix allografts in the regeneration of functional bladders: evaluation of large-segment (>24 cm) substitution in a porcine model. BJU Int 85:894–898CrossRefPubMed Merguerian PA, Reddy PP, Barrieras DJ, Wilson GJ, Woodhouse K, Bagli DJ, McLorie GA, Khoury AE (2000) Acellular bladder matrix allografts in the regeneration of functional bladders: evaluation of large-segment (>24 cm) substitution in a porcine model. BJU Int 85:894–898CrossRefPubMed
23.
Zurück zum Zitat Mitrofanoff P (1980) Cystomie continente trans-appendiculaire dans le traitment des vessies neurologiques. Chir Pédiatr 21:297–305 Mitrofanoff P (1980) Cystomie continente trans-appendiculaire dans le traitment des vessies neurologiques. Chir Pédiatr 21:297–305
24.
Zurück zum Zitat Monfort G, Guys JM, Lacombe GM (1984) Appendicovesicostomy: an alternative urinary diversion in the child. Eur Urol 10:361–363PubMed Monfort G, Guys JM, Lacombe GM (1984) Appendicovesicostomy: an alternative urinary diversion in the child. Eur Urol 10:361–363PubMed
25.
Zurück zum Zitat Monti PR, Lara RC, Dutra MA, Carvalho JR (1997) New techniques for construction of efferent conduits based on the Mitrofanoff principle. Urology 49:112–114CrossRefPubMed Monti PR, Lara RC, Dutra MA, Carvalho JR (1997) New techniques for construction of efferent conduits based on the Mitrofanoff principle. Urology 49:112–114CrossRefPubMed
26.
Zurück zum Zitat Naude JH (1982) The hidden vesicostomy Br J Urol 54:686–688 Naude JH (1982) The hidden vesicostomy Br J Urol 54:686–688
27.
Zurück zum Zitat Probst M, Dahiya R, Carrier S Tanagho EA (1997) Reproduction of functional smooth muscle tissue and partial bladder replacement. Br J Urol 79:505–515PubMed Probst M, Dahiya R, Carrier S Tanagho EA (1997) Reproduction of functional smooth muscle tissue and partial bladder replacement. Br J Urol 79:505–515PubMed
28.
Zurück zum Zitat Reid R, Schneider K, Fruchtman B (1978) Closure of the bladder neck in patients undergoing continent vesicostomy for urinary incontinence. J Urol 120:40–42PubMed Reid R, Schneider K, Fruchtman B (1978) Closure of the bladder neck in patients undergoing continent vesicostomy for urinary incontinence. J Urol 120:40–42PubMed
29.
Zurück zum Zitat Rowland RG (1994) The plicated or tapered ileal outlet: 'Indian pouch'. Scand J Urol Nephrol 142 (Suppl):70–72 Rowland RG (1994) The plicated or tapered ileal outlet: 'Indian pouch'. Scand J Urol Nephrol 142 (Suppl):70–72
30.
Zurück zum Zitat Schneider KM, Ewing RS, Signer RD (1974) continent vesicostomy. Urology 2:654–656 Schneider KM, Ewing RS, Signer RD (1974) continent vesicostomy. Urology 2:654–656
31.
Zurück zum Zitat Schneider KM, Reid RE, Fruchtman B, Ewing RS, Levitt SB (1975) Continent vesicostomy: surgical technique. Urology 4:741–744 Schneider KM, Reid RE, Fruchtman B, Ewing RS, Levitt SB (1975) Continent vesicostomy: surgical technique. Urology 4:741–744
32.
Zurück zum Zitat Schneider KM, Reid RE, Fruchtman B (1978) Closure of the bladder neck in patients undergoing continent vesicostomy J Urol 120:40–42 Schneider KM, Reid RE, Fruchtman B (1978) Closure of the bladder neck in patients undergoing continent vesicostomy J Urol 120:40–42
33.
Zurück zum Zitat Seki N, Ikawa S, Takano N, Naito S (2001) Intravesical instillation of resiniferatoxin for neurogenic bladder dysfunction in a patient with myelodysplasia. J Urol 166:2368–2369PubMed Seki N, Ikawa S, Takano N, Naito S (2001) Intravesical instillation of resiniferatoxin for neurogenic bladder dysfunction in a patient with myelodysplasia. J Urol 166:2368–2369PubMed
34.
35.
Zurück zum Zitat Skinner DG, Lieskovsky G, Boyd SD (1987) Continuing experience with the continent ileal reservoir (Kock pouch) as an alternative to cutaneous urinary diversion: an update after 250 cases. J Urol 137:1140–1145PubMed Skinner DG, Lieskovsky G, Boyd SD (1987) Continuing experience with the continent ileal reservoir (Kock pouch) as an alternative to cutaneous urinary diversion: an update after 250 cases. J Urol 137:1140–1145PubMed
36.
Zurück zum Zitat Skinner DG (1994) Intussuscepted ileal nipple valve: development and present status. Scand J Urol Nephrol 142 (Suppl):63–65 Skinner DG (1994) Intussuscepted ileal nipple valve: development and present status. Scand J Urol Nephrol 142 (Suppl):63–65
37.
Zurück zum Zitat Stief CG, Jonas U (2002) A simple and reliable continent bladder stoma constructed from bladder wall. Annual Scientific Meeting of the Urological Research Society, York, 2002. Abstract. Stief CG, Jonas U (2002) A simple and reliable continent bladder stoma constructed from bladder wall. Annual Scientific Meeting of the Urological Research Society, York, 2002. Abstract.
38.
Zurück zum Zitat Sutherland RS, Baskin LS, Hayward SW, Cunha GR (1996) Regeneration of bladder urothelium, smooth muscle, blood vessels and nerves into an acellular tissue matrix. J Urol 156:571–577PubMed Sutherland RS, Baskin LS, Hayward SW, Cunha GR (1996) Regeneration of bladder urothelium, smooth muscle, blood vessels and nerves into an acellular tissue matrix. J Urol 156:571–577PubMed
39.
Zurück zum Zitat Venn S, Mundy T (2002) Bladder reconstruction: urothelial augmentation, trauma, fistula. Curr Opin Urol 12:201–203CrossRefPubMed Venn S, Mundy T (2002) Bladder reconstruction: urothelial augmentation, trauma, fistula. Curr Opin Urol 12:201–203CrossRefPubMed
40.
Zurück zum Zitat Venn SN, Greenwell TJ, Mundy AR (2000) The long-term outcome of artificial urinary sphincters. J Urol 164:702–706PubMed Venn SN, Greenwell TJ, Mundy AR (2000) The long-term outcome of artificial urinary sphincters. J Urol 164:702–706PubMed
41.
Zurück zum Zitat Woodhouse CRJ (1995) Continent urinary diversion: outlet considerations. Curr Opin Urol 5:123–126 Woodhouse CRJ (1995) Continent urinary diversion: outlet considerations. Curr Opin Urol 5:123–126
42.
Zurück zum Zitat Woodhouse CR, Pope AJ (1993) Alternatives to urinary diversion with a bag: results in 100 patients. Br J Urol 72:580–585PubMed Woodhouse CR, Pope AJ (1993) Alternatives to urinary diversion with a bag: results in 100 patients. Br J Urol 72:580–585PubMed
43.
Zurück zum Zitat Wilson TG, Moreno JG, Weinberg A, Ahlering TE (1994) Late complications of the modified Indian pouch. J Urol 151:331–334PubMed Wilson TG, Moreno JG, Weinberg A, Ahlering TE (1994) Late complications of the modified Indian pouch. J Urol 151:331–334PubMed
44.
Zurück zum Zitat Yacchia D (1997) A new continent vesicostomy technique: preliminary report .J Urol 157:1633–1637PubMed Yacchia D (1997) A new continent vesicostomy technique: preliminary report .J Urol 157:1633–1637PubMed
45.
Zurück zum Zitat Yang WH (1993) Yang needle tunnelling technique in creating anti-reflux and continent mechanisms. J Urol 150:830–834PubMed Yang WH (1993) Yang needle tunnelling technique in creating anti-reflux and continent mechanisms. J Urol 150:830–834PubMed
Metadaten
Titel
Continent bladder stoma
verfasst von
Nigel Timothy Dunglison
Robert Alexander Gardiner
Publikationsdatum
01.08.2003
Verlag
Springer-Verlag
Erschienen in
World Journal of Urology / Ausgabe 3/2003
Print ISSN: 0724-4983
Elektronische ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-003-0319-2

Weitere Artikel der Ausgabe 3/2003

World Journal of Urology 3/2003 Zur Ausgabe

Alphablocker schützt vor Miktionsproblemen nach der Biopsie

16.05.2024 alpha-1-Rezeptorantagonisten Nachrichten

Nach einer Prostatabiopsie treten häufig Probleme beim Wasserlassen auf. Ob sich das durch den periinterventionellen Einsatz von Alphablockern verhindern lässt, haben australische Mediziner im Zuge einer Metaanalyse untersucht.

S3-Leitlinie zur unkomplizierten Zystitis: Auf Antibiotika verzichten?

15.05.2024 Harnwegsinfektionen Nachrichten

Welche Antibiotika darf man bei unkomplizierter Zystitis verwenden und wovon sollte man die Finger lassen? Welche pflanzlichen Präparate können helfen? Was taugt der zugelassene Impfstoff? Antworten vom Koordinator der frisch überarbeiteten S3-Leitlinie, Prof. Florian Wagenlehner.

Viel pflanzliche Nahrung, seltener Prostata-Ca.-Progression

12.05.2024 Prostatakarzinom Nachrichten

Ein hoher Anteil pflanzlicher Nahrung trägt möglicherweise dazu bei, das Progressionsrisiko von Männern mit Prostatakarzinomen zu senken. In einer US-Studie war das Risiko bei ausgeprägter pflanzlicher Ernährung in etwa halbiert.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.