Related Experiment Video

Updated: Jun 22, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Vesicostomy as a protector of upper urinary tract in long-term follow-up

Alessandro Prudente1, Leonardo Oliveira Reis, Rodrigo de Paula França

  • 1Department of Urology, State University of Campinas, São Paulo, Brazil.

Urology Journal
|May 28, 2009
PubMed

Insights

Vesicostomy surgery in children effectively protects the upper urinary tract and improves kidney function. Caregivers reported positive adjustment and high satisfaction with the outcomes of this simple procedure.

Area of Science:

  • Pediatric Urology
  • Surgical Intervention
  • Renal Function Preservation

Background:

  • Vesicostomy is utilized in pediatric cases to safeguard upper urinary tract function.
  • Caregiver adaptation and outcomes require thorough assessment post-procedure.

Purpose of the Study:

  • To evaluate vesicostomy's efficacy in protecting the upper urinary tract in pediatric patients.
  • To assess caregiver adjustment and satisfaction with vesicostomy outcomes.

Main Methods:

  • Retrospective analysis of 21 children undergoing Blocksom technique vesicostomy.
  • Evaluation included renal function tests, cystography, complication analysis, and caregiver interviews.

Main Results:

  • Significant reduction in hydronephrosis and improvement/cure in 58.8% of cases.
  • Stable or improved kidney function (creatinine clearance) in 95.2% of patients.
  • High rates of daytime dryness (90%) and caregiver confidence (70%) reported.

Conclusions:

  • Vesicostomy is a straightforward surgical option for upper urinary tract protection in children.
  • The procedure effectively alleviates hydronephrosis and enhances renal function.
  • Positive caregiver adjustment and high overall satisfaction underscore the procedure's success.
Abstract

More Related Videos

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy03:25

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Published on: June 16, 2022

Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
Urinary Tract Calculi V: Nursing Management01:28

Urinary Tract Calculi V: Nursing Management

AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...