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Published on: August 9, 2012

Button cystostomy for bladder drainage: which children can benefit from this device?

Isabelle Lacreuse1, Raphaël Moog, Francesca Borruto

  • 1Pediatric Surgery Department, University Hospital of Strasbourg, 67098 Strasbourg Cedex, France. isabelle.talon2@chru-strasbourg.fr

Journal of Pediatric Surgery
|March 20, 2012
PubMed

Insights

Button cystostomy is a urinary diversion technique. Older children (mean age 12 years) showed better outcomes than younger children (mean age 2 years) with this procedure.

Area of Science:

  • Pediatric Urology
  • Surgical Techniques

Background:

  • Urinary diversion is crucial for managing complex bladder conditions in children.
  • Button cystostomy offers a minimally invasive option for urinary diversion.

Purpose of the Study:

  • To define optimal patient selection for button cystostomy.
  • To refine indications for successful pediatric urinary diversion using this technique.

Main Methods:

  • Retrospective analysis of 21 patients undergoing button cystostomy since 2007.
  • Evaluation of indications, patient age, urodynamic variables, and complications.
  • Comparison of outcomes between younger and older pediatric patient groups.

Main Results:

  • Twenty-one patients underwent button cystostomy.
  • Higher complication and failure rates were observed in younger children (mean age 2 years).
  • Older children (mean age 12 years) demonstrated significantly better procedural success.

Conclusions:

  • Urodynamic variables and specific indications are key to successful button cystostomy.
  • Patient age is a critical factor, with older children benefiting more.
  • This study clarifies selection criteria for improved outcomes and reduced risks in pediatric urinary diversion.
Abstract

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