Hemi-T pouch modification for pediatric urinary diversion

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

Research output: Contribution to journalArticle

5 Citations (Scopus)

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

Fingerprint

Urinary Diversion
Urinary Bladder
Pediatrics
Hydronephrosis
Urodynamics
antineoplaston A10
Infection

Keywords

  • Bladder
  • Ileum
  • Urinary diversion

ASJC Scopus subject areas

  • Urology

Cite this

Hemi-T pouch modification for pediatric urinary diversion. / Kurzrock, Eric A; Skinner, Donald G.; Stein, John P.

In: Journal of Urology, Vol. 170, No. 3, 01.09.2003, p. 949-951.

Research output: Contribution to journalArticle

Kurzrock, Eric A ; Skinner, Donald G. ; Stein, John P. / Hemi-T pouch modification for pediatric urinary diversion. In: Journal of Urology. 2003 ; Vol. 170, No. 3. pp. 949-951.
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