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Updated: Aug 1, 2026
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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Cutaneous vesicostomy revisited--the second 15 years
A M Vastyan1, A B Pinter, A Farkas
1Department of Paediatrics, Faculty of Medicine, Surgical Unit, University of Pécs, 7623 Pécs, Hungary. attila.vastyan@aok.pte.hu
Summary
Cutaneous vesicostomy (CV) is a valuable surgical option for managing pediatric urinary issues, particularly neuropathic bladder. While effective for decompression and preventing kidney damage, complications like stenosis can occur, necessitating careful patient selection.
Area of Science:
- Pediatric Urology
- Surgical Procedures
- Urinary Tract Management
Background:
- Cutaneous vesicostomy (CV) is a surgical procedure used in pediatric urology.
- Its long-term efficacy and complication profile require evaluation.
Purpose of the Study:
- To review the authors' 15-year experience with cutaneous vesicostomy (CV).
- To analyze indications, outcomes, and complications of CV in pediatric patients.
Main Methods:
- Retrospective review of 31 patients (20 boys, 11 girls) treated with CV between 1987 and 2002.
- Primary pathologies included neuropathic bladder (19) and posterior urethral valve (PUV) (7).
- Surgical intervention involved a Blocksom-type operation; urodynamic assessments were performed.
Main Results:
- CV successfully diverted urine in 74% of patients, improving upper urinary tract function.
- Temporary improvement was noted in 16% of PUV patients; 10% saw no improvement.
- Complications included stenosis (22%), prolapse (6%), and cellulitis (6%); revision rate was 16%.
Conclusions:
- CV is more effective for high-pressure neuropathic bladders than for PUV in young infants.
- Cutaneous vesicostomy remains a valuable treatment option for selected pediatric urology cases.
- The procedure provides essential decompression and prevents renal deterioration.
