Sigmoid 'tail' modification for bladder augmentation

Ranjiv Mathews, Steven Docimo, John Phillip Gearhart

Research output: Contribution to journalArticle

Abstract

Objectives. The sigmoid colon lends itself well to bladder augmentation particularly in patients requiring reimplantation of ureters or Mitrofanoff valves for continence. We have modified the sigmoid augment to improve ease of catheterization and ureteral reimplantation. Methods. Seven children underwent sigmoid 'tail' bladder augmentation for various indications. Appendix or tapered ileum was used to create the catheterizable stoma. This technique uses a 3 to 5-cm segment of nondetubularized colon, fixed to the abdominal wail to ease catheterization. Durability of the modification and ease of catheterization were assessed. Results. All patients are dry day and night with intermittent catheterization. One patient with mild leakage has been managed with pseudoefedrine. Postoperative bowel obstruction and abscess developed in 1 patient. Conclusions. The sigmoid 'tail' modification does not appear to confer increased morbidity and the short nondetubularized segment fixed to the posterior aspect of the anterior abdominal wall stabilizes the catheterizable stoma improving ease of catheterization.

Original languageEnglish (US)
Pages (from-to)609-611
Number of pages3
JournalUrology
Volume49
Issue number4
DOIs
StatePublished - Apr 1997

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Sigmoid Colon
Catheterization
Urinary Bladder
Replantation
Urinary Catheterization
Appendix
Abdominal Wall
Ureter
Ileum
Abscess
Colon
Morbidity

ASJC Scopus subject areas

  • Urology

Cite this

Sigmoid 'tail' modification for bladder augmentation. / Mathews, Ranjiv; Docimo, Steven; Gearhart, John Phillip.

In: Urology, Vol. 49, No. 4, 04.1997, p. 609-611.

Research output: Contribution to journalArticle

Mathews, Ranjiv ; Docimo, Steven ; Gearhart, John Phillip. / Sigmoid 'tail' modification for bladder augmentation. In: Urology. 1997 ; Vol. 49, No. 4. pp. 609-611.
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