Construction of continent catheterizable urinary conduit from an isolated segment of colon.

BACKGROUND

Continent urinary diversion may be necessary in a range of urological abnormalities. In circumstances where the standard techniques are not possible, alternative innovative techniques may be used.

METHODS

In a female patient with bladder exstrophy, a continent diversion was recommended. The appendix was not available, the ureters were not suitable and a continent stoma was fashioned from an isolated segment of colon.

RESULTS

The stoma proved to be continent, although it was somewhat stenotic. However, clean intermittent catheterization maintained its patency.

CONCLUSIONS

A continent catheterizable stoma may be constructed from a segment of colon. The technique may be considered when other well recognized methods are not feasible.