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Updated: Aug 5, 2026
14:05
A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction
Published on: December 20, 2014
[Intestinal-urinary fistula in children]
Urologiia (Moscow, Russia : 1999)
|October 3, 2002
Summary
This study reviews 15 years of experience with 63 boys diagnosed with intestino-urinary bypasses. An original classification system for these fistulas was developed and applied to guide surgical treatment strategies.
Area of Science:
- Pediatric Surgery
- Urology
- Gastroenterology
Background:
- Intestino-urinary bypasses present complex diagnostic and treatment challenges in pediatric patients.
- The clinical manifestations of these conditions are highly varied, complicating management.
Purpose of the Study:
- To present a 15-year experience in the diagnosis and surgical treatment of intestino-urinary bypasses in 63 boys.
- To introduce an original classification system for these fistulas to aid in surgical decision-making.
Main Methods:
- Comprehensive patient evaluation including ultrasonic, histomorphological, and X-ray contrast investigations.
- Development and application of a novel classification system for congenital, acquired, primary, and recurrent fistulas.
- Analysis of fistula location, topographoanatomic form, and diameter.
Main Results:
- Detailed experience with 63 pediatric cases (6 months to 15 years) of intestino-urinary bypasses.
- The proposed classification system categorizes fistulas based on origin, recurrence, and anatomical features.
- Surgical strategies were tailored based on the proposed classification and fistula characteristics.
Conclusions:
- A standardized classification of intestino-urinary fistulas is crucial for effective surgical management in children.
- Tailoring surgical policy based on fistula type, location, and form improves treatment outcomes.
- This study provides valuable insights into the long-term surgical management of these complex pediatric conditions.
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