Journal of pediatric surgery · 2004
Continent urinary reconstruction in rhabdomyosarcoma: a new approach.
Клинический случайОценочное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Freitas Ricardo G, Nobre Yuri T Dantas A, Macedo Antonio, Demarchi Guilherme T S, Ortiz Valdemar, Srougi Miguel
Аннотация
PURPOSE: The authors present here 5 cases of continent urinary diversion in rhabdomyosarcoma applying a recently described technique for the Mitrofanoff Principle devised by the authors.
METHODS: Two previously irradiated rhabdomyosarcoma patients presenting with residual bladder disease and massive sensitive urinary urgency underwent a transverse colonic reservoir with catheterizable stoma. Two other patients presenting with a Bricker conduit underwent conversion into an ileal reservoir. One patient underwent reconstruction after a cystectomy.
RESULTS: All patients were continent and able to perform continent intermittent catheterization.
CONCLUSIONS: The technique proved to be feasible for this group of patients. The authors believe that because of its simplicity, it should be an option of continent urinary diversion when the Mitrofanoff Principle is considered.
METHODS: Two previously irradiated rhabdomyosarcoma patients presenting with residual bladder disease and massive sensitive urinary urgency underwent a transverse colonic reservoir with catheterizable stoma. Two other patients presenting with a Bricker conduit underwent conversion into an ileal reservoir. One patient underwent reconstruction after a cystectomy.
RESULTS: All patients were continent and able to perform continent intermittent catheterization.
CONCLUSIONS: The technique proved to be feasible for this group of patients. The authors believe that because of its simplicity, it should be an option of continent urinary diversion when the Mitrofanoff Principle is considered.
Предметные рубрики MeSH
AdultAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantChildChild, PreschoolColon, TransverseColonic PouchesCombined Modality TherapyCyclophosphamideCystectomyDactinomycinFatal OutcomeFemaleFollow-Up StudiesHumansInfantMaleProstatic NeoplasmsRadiotherapy, AdjuvantRhabdomyosarcomaRhabdomyosarcoma, AlveolarSepsisUrethral NeoplasmsUrinary Bladder NeoplasmsUrinary CatheterizationUrinary DiversionUrinary Tract InfectionsUrogenital NeoplasmsVaginal NeoplasmsVincristine