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Is continent urinary diversion feasible in children under five years of age?

Luiz L Barbosa1, Riberto Liguori, Sergio L Ottoni

  • 1Division of Urology, Federal University of Sao Paulo, Sao Paulo, Brazil.

International Braz J Urol : Official Journal of the Brazilian Society of Urology
|September 2, 2009
PubMed

Insights

Continent urinary diversion using a catheterizable reservoir is feasible in children under five years old. This technique offers high continence rates with manageable complications, making it a viable option for young patients.

Area of Science:

  • Pediatric Urology
  • Surgical Reconstruction
  • Voiding Dysfunction Management

Background:

  • Urinary incontinence in young children often requires complex management.
  • Continent urinary diversion provides an alternative to traditional methods.

Purpose of the Study:

  • To evaluate the clinical outcomes of continent urinary catheterizable reservoirs in children under five years of age.
  • To assess the feasibility and complication rates of this procedure in a pediatric population.

Main Methods:

  • Retrospective review of 23 patients (median age 3.64 years) undergoing continent urinary diversion.
  • Analysis of underlying conditions including posterior urethral valve, myelomeningocele, and bladder exstrophy.

Main Results:

  • Perioperative complications occurred in 4 patients.
  • Long-term complications included stomal stenosis, neobladder calculi, and persistent incontinence (overall rate 40.90%).
  • High overall surgical revision rate (36.36%) but achieved a final continence rate of 95.45%.

Conclusions:

  • Continent urinary diversion is technically feasible in young children.
  • The procedure demonstrates acceptable complication rates and high success in achieving urinary continence.
Abstract

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