Hemi-T pouch modification for pediatric urinary diversion

Eric A Kurzrock, Donald G. Skinner, John P. Stein

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Purpose: When the appendix is unavailable, there are limited reliable methods for continent urinary diversion. After successful application of double-T pouch urinary diversion in adults we modified the technique for bladder augmentation and continent diversion. Materials and Methods: A 10-year-old male underwent bladder augmentation and continent urinary diversion with a hemi-T augment. Modifications of the T pouch technique are described in detail. We also reviewed the literature on tapered ileal diversions, such as the Yang-Monti procedure. Results: One year after surgery the patient was continent. He was free of infection and bilateral hydronephrosis resolved. Urodynamics demonstrated a continent 350 ml reservoir without reflux. Conclusions: For patients who require concomitant bladder augmentation and continent diversion a hemi-T augment is a suitable option when the appendix is unavailable. It is especially true when there is minimal bladder available for implantation of a Yang-Monti conduit.

Original languageEnglish (US)
Pages (from-to)949-951
Number of pages3
JournalJournal of Urology
Volume170
Issue number3
DOIs
StatePublished - Sep 1 2003

Keywords

  • Bladder
  • Ileum
  • Urinary diversion

ASJC Scopus subject areas

  • Urology

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