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PubMed1982

[Enlargement colocystoplasty with temporary skin opening. Modification of the trans-appendicular continent cystostomy technic].

The results of trans-appendix continent vesicostomy, described in 1980 by P. Mitrofanoff, depends on the capacity of the neurogenic bladder. A cystoplasty using the sigmoïd colon is able to resolve the problem of small and hypertonic bladders. The colon conduit is placed between the bladder and the antero-lateral wall of the abdomen, where a temporary urinary stoma is performed. Results of this technic are reported in 3 cases: no specific complication related to the colocystoplasty has been observed. In all cases, the colon conduit permits a large capacity. It reduces the intravesical pressure and the risk of urinary fistula and urethral repermeation. If any accident occurs, it is easy to re-open the sigmoïdal stoma and to obtain an efficient decompression of the urinary tract. With this technic, it is possible to perform a continent vesicostomy in most children with neurogenic bladder.

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PubMedDate not supplied

[Closed cystostomy by puncture. Modified translumbar puncture technic for the treatment of single renal cyst].

Due to the frequent relapses in the treatment of kidney cysts by simple aspiration, the authors present a technical variation of the same, which may avoid the use of intracystic sclerosing substances. Owing to the simplicity of the method which may be performed in a clinic, its low morbility and probable effectiveness, we feel that it may be a useful procedure as a first step in the treatment of simple kidney cysts.

Drainage↗
PubMed1976

Bowel perforation with suprapubic cystostomy Report of two cases.

Two patients with small bowel perforation that occurred during suprapubic catheter insertion are described. Insertion of the catheter with a trocar and with transurethral sound, respectively, was responsible for the perforation. These perforations occurred despite preliminary bladder distention. Small bowel injury was slight in both patients, and neither patient required resection. In 1 patient, the ileocutaneous fistula closed spontaneously, and in the other, oversewing the perforation only was necessary; neither patient has known residual complications.

Adult↗