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A simple and reliable continent bladder stoma constructed from bladder wall.

Christian G Stief1, Armin J Becker

  • 1Urologische Klinik, MHH, 30623 Hannover, Germany. stief.christian@mh-hannover.de

World Journal of Urology
|August 5, 2003
PubMed
Summary

This study introduces a novel continent bladder stoma technique for patients with refractory bladder issues. The procedure offers a viable alternative to chronic catheterization or urinary diversion, restoring continence.

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Area of Science:

  • Urology
  • Surgical Innovation
  • Reconstructive Surgery

Background:

  • Recurrent bladder neck strictures and severe incontinence often necessitate chronic catheterization or urinary diversion.
  • Existing treatments for these conditions have limitations and significant patient impact.

Purpose of the Study:

  • To present a novel surgical technique for creating a continent bladder stoma from the bladder wall.
  • To evaluate the efficacy and outcomes of this technique as an alternative to traditional management.

Main Methods:

  • A Lapides-like U-shaped bladder flap is created and sutured to a tube.
  • The flap is adapted for stoma location and length, then embedded using Lich-Gregoir technique after bladder neck closure.
  • The distal end of the tube is sutured to the stoma site.

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Main Results:

  • Five patients achieved continence with bladder capacities ranging from 250 to 560 ml after a mean follow-up of 17 months.
  • Two patients required stomal revision due to stenosis at the skin level.

Conclusions:

  • This continent bladder stoma technique provides a successful alternative for managing complex bladder conditions.
  • The procedure demonstrates good functional outcomes in terms of continence and bladder capacity.