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Related Experiment Videos

[Cutaneous vesicostomy in children].

S Tucci1, I Facincani, M C Beduschi

  • 1Depto. de Cirurgia, Ortopedia e Traumatologia do Hosp. das Clínicas da Faculdade de Medicina de Ribeirão Preto, USP.

Jornal De Pediatria
|July 1, 1997
PubMed
Summary
This summary is machine-generated.

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Cutaneous vesicostomy is a useful temporary urinary diversion for children with severe hydronephrosis and urinary tract infections. This effective procedure helps manage infravesical obstruction or reflux, though complications like prolapse and stenosis can occur.

Area of Science:

  • Pediatric Urology
  • Surgical Procedures
  • Renal Function

Context:

  • Severe hydronephrosis and urinary tract infections (UTIs) in children necessitate effective urinary diversion.
  • Infants and children with compromised renal function require temporary management of urine flow.
  • Infravesical obstruction and vesicoureteral reflux are common causes of pediatric urinary tract issues.

Purpose:

  • To evaluate the efficacy and outcomes of cutaneous vesicostomy as a temporary urinary diversion in pediatric patients.
  • To assess the impact of cutaneous vesicostomy on renal function and patient development.
  • To identify post-operative complications associated with cutaneous vesicostomy.

Summary:

  • This study analyzed 20 pediatric patients (17 boys, 3 girls) who underwent cutaneous vesicostomy for severe hydronephrosis, low renal function, or UTIs with metabolic acidosis.

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  • Common diagnoses included posterior urethral valves (12), vesicoureteral reflux (7), and anterior urethral valve (1). Pre-operative evaluations revealed elevated urea and creatinine in 16 patients.
  • All patients showed reduced hydronephrosis post-procedure. Five patients progressed to chronic renal failure, exhibiting poorer weight and height development. Complications included prolapse (2) and stoma stenosis (2).

    • Impact:

    • Cutaneous vesicostomy demonstrates effectiveness as a reversible temporary treatment for pediatric urinary diversion.
    • The procedure aids in managing severe hydronephrosis and associated UTIs in infants and children.
    • Understanding potential complications like prolapse and stenosis is crucial for patient management.