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Cystostomy button for bladder drainage in children
I Milliken1, N P Munro, R Subramaniam
1Department of Pediatric Urology, St. James's University Hospital, Leeds, United Kingdom.
Insights
Button cystostomy offers a safe and effective method for bladder drainage in pediatric patients. This technique provides an improved quality of life for children requiring bladder management.
Area of Science:
- Pediatric Urology
- Surgical Innovation
- Bladder Management
Background:
- Enteral feeding "button" devices are commonly utilized for gastrostomy.
- The application of these devices for bladder drainage in pediatric patients is less common.
- This study explores the utility of button devices for urinary diversion.
Purpose of the Study:
- To describe the use of button devices for bladder drainage in children.
- To evaluate the safety and efficacy of button cystostomy.
- To assess the impact on children's quality of life.
Main Methods:
- Prospective review of pediatric patients undergoing cystostomy button insertion from 2002 to 2005.
- Analysis of indications for the procedure and any associated complications.
- Inclusion criteria encompassed neuropathic bladder, prune belly syndrome, and post-surgical cases.
Main Results:
- Seventeen children (mean age 7.1 years) received cystostomy buttons over 4 years.
- Mean follow-up was 16 months; 14 buttons remained functional.
- Complications included one wound infection and four cases of manageable leakage.
Conclusions:
- Button cystostomy is a safe and effective bladder drainage solution for children.
- It serves as a viable alternative to traditional suprapubic drainage.
- The procedure significantly enhances the quality of life for pediatric patients.
Purpose:
The "button" enteral feeding systems are widely used as a gastrostomy. We describe our use of this device to facilitate bladder drainage in children.
Materials And Methods:
We prospectively reviewed all patients who underwent insertion of a cystostomy button between 2002 and 2005. Indications and complications were analyzed.
Results:
A total of 17 children (8 female, 9 male) with a mean age of 7.1 years underwent insertion of a cystostomy button during the 4-year period. Mean followup was 16 months (range 2 to 40). Cases selected included those with a neuropathic bladder, prune belly syndrome, previous major bladder neck surgery and those unsuitable for Mitrofanoff stoma formation. Complications included 1 wound infection treated with antibiotics. Four children had leakage from the cystostomy site that was successfully treated with a change in button size, and 14 buttons remain in situ.
Conclusions:
Button cystostomy is a safe and effective form of bladder drainage in children. It is a good alternative to standard suprapubic drainage and it gives children an improved quality of life.
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