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Continent urinary reconstruction in rhabdomyosarcoma: a new approach
Ricardo G Freitas1, Yuri T Dantas A Nobre, Antonio Macedo
1Division of Pediatric Urology, Department of Surgery/Pediatrics, Federal University of São Paulo, São Paulo, Brazil.
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.