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Evaluation of urinary and faecal continent stomas
T Boemers1, C Schimke, M Ardelean
1Department of Paediatric Surgery, Paracelsus Medical University, Salzburger Landeskliniken SALK, Müllner Hauptstrasse 48, A-5020 Salzburg, Austria. t.boemers@salk.at
Journal of Pediatric Urology
|October 25, 2008
Summary
Continent catheterizable stomas, including urinary and faecal options, offer excellent continence and independence for most pediatric patients, with a low rate of complications and re-operations. These procedures significantly improve quality of life by enabling self-catheterization.
Area of Science:
- Pediatric Surgery
- Urology
- Gastroenterology
Background:
- Continent catheterizable stomas are surgical creations to manage urinary and fecal incontinence.
- These procedures aim to restore continence and independence in patients with complex conditions.
Purpose of the Study:
- To evaluate the outcomes and complications of urinary and fecal continent catheterizable stomas.
- To assess the efficacy and safety of various surgical techniques.
Main Methods:
- Retrospective review of patient records over a 6-year period.
- Analysis of 63 stomas created in 55 children with diverse diagnoses.
- Evaluation of surgical techniques including appendix and intestinal segments (Yang-Monti).
Main Results:
- 84.2% of stomas (53/63) achieved excellent functional and cosmetic results, ensuring continence and ease of catheterization.
- Re-operations were required in 14.5% of patients (8/55) for issues like difficult catheterization, incontinence, or prolapse.
- Urinary incontinence was linked to intravesical tunnel length; prolapse occurred without skin flaps.
Conclusions:
- Continent catheterizable urinary and fecal stomas are effective in achieving continence and independence.
- These procedures are associated with a low complication rate, enhancing patient quality of life.
- Careful surgical technique, including the use of skin flaps, can minimize complications like prolapse.
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