Use of cutaneous flap for continent cystostomy (daoud technique)

The Journal of Urology
M PonsM L Poli-Merol

Abstract

We present the results of a new technique using a pedicled cutaneous flap for continent cystostomy. A total of 15 boys and 8 girls (mean +/- SD age 13.4 +/- 6.4 years) underwent continent cystostomy for neurogenic bladder (20), bladder exstrophy (2) and sequelae of hypospadias (1) between 1999 and 2008. In this procedure a rectangular pedicled flap is surgically elevated from a hairless area on the abdomen. The flap is tubularized and passed through the anterior abdominal wall directly into the bladder. A submucosal detrusor incision is made to expose the bladder mucosa, and the distal part of the flap is anastomosed to the bladder mucosa in a circular manner. The tube is positioned along the incised detrusor, which is closed over. Viability of the flap, self-catheterization management and continence status are then evaluated. Mean +/- SD followup was 4.5 +/- 3.1 years. There was 1 case of distal necrosis of the flap, which required a secondary surgery using the Mitrofanoff technique. The 22 remaining flaps were initially viable, although 2 patients were eventually lost to followup and 3 subsequently presented with false-passage incidents requiring a few days of calibration using a balloon catheter. Dryness was achieved immedia...Continue Reading

References

Nov 17, 1990·Lancet·P S MaloneE M Kiely
Mar 1, 1993·The Journal of Urology·J W Duckett, A H Lotfi
Feb 1, 1997·The Journal of Urology·Y MorP G Ransley
May 24, 2001·The Journal of Urology·A LiardP Mitrofanoff
Jun 20, 2001·BJU International·B NarayanaswamyP G Ransley
May 11, 2007·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·Mohamed Nabil MhiriKamel Chabchoub
Jan 10, 2008·Pediatric Surgery International·Alan P DicksonRaimondo M Cervellione
Jun 3, 2008·Urology·Mark P CainRichard C Rink
Mar 24, 2009·Journal of Pediatric Surgery·Antonio DessantiGiuseppina Dessanti

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Citations

Mar 9, 2012·Advances in Urology·Peter T Dorsher, Peter M McIntosh
Jun 1, 2012·Journal of Pediatric Urology·Antonio MacedoValdemar Ortiz
Mar 11, 2015·Ultrasonography·Yiu Shiobhon LukJennifer Lai San Khoo

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