Bladder Reconstruction with Bowel: Robot-Assisted Laparoscopic Ileocystoplasty with Mitrofanoff Appendicovesicostomy in Pediatric Patients

Journal of Endourology
Nimrod S BarashiMohan S Gundeti

Abstract

Neurogenic bladder occur as a consequence of several conditions, most commonly posterior urethral valves syndrome, spina bifida, tethered cord, sacral agenesis, and Arnold-Chiari malformation. It is characterized by diminished bladder capacity and/or reduced compliance, associated with high-pressure voiding that can lead to deterioration of renal function if left untreated. When medical management fails, bladder reconstruction with bowel (aumentation ileocystoplasty) becomes the treatment of choice for these patients. In most cases, it is accompanied by the creation of a continent catheterizable channel, with the appendix being the most commonly used conduit (Mitrofanoff appendicovesicostomy). Conventional open surgery has proven to be an efficient and safe approach in these patients. However, robot-assisted surgery not only offers a cosmetic advantage, but also results in a shorter hospital stay, less postoperative pain, and even decreased number of adhesions (as shown in porcine models). Nevertheless, the complexity of this technique has limited the wide adoption of this approach. We seek to provide a technical guide to robot-assisted laparoscopic ileocystoplasty and Mitrofanoff appendicovesicostomy in pediatric patients, as ...Continue Reading

References

Sep 2, 2006·The Journal of Urology·J C ThomasM C Adams
Sep 6, 2006·The Journal of Urology·Mohan S GundetiDuncan T Wilcox
Oct 19, 2007·Journal of Endourology·Douglas W StormJoel M Sumfest
Apr 1, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Thomas S LendvayRichard W Grady
Oct 25, 2008·Journal of Pediatric Urology·Lisandro PiaggioRicardo González
Dec 17, 2008·Journal of Pediatric Urology·J BerkowitzY Lakshmanan
Apr 23, 2011·The Journal of Urology·Bruno LeslieJoao L Pippi Salle
Nov 5, 2011·Journal of Endourology·Jeffrey J TomaszewskiMichael C Ost
Dec 12, 2012·Current Urology Reports·Olufenwa Famakinwa, Mohan S Gundeti
Feb 20, 2014·Journal of Endourology·Charles ChangMohan S Gundeti
Dec 3, 2014·The Urologic Clinics of North America·Andrew J CohenMohan S Gundeti

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