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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Button vesicostomy: 13 years of experience
Catherine J Bradshaw1, Robert Gray2, Angela Downer1
1Department of Paediatric Surgery, Oxford Radcliffe NHS Trust, Oxford Children's Hospital, Headley Way, Oxford, OX3 9DU, UK.
Journal of Pediatric Urology
|August 1, 2013
Summary
Button vesicostomy offers a safe and effective alternative for pediatric bladder drainage when clean intermittent catheterization (CIC) is not feasible. This technique demonstrates minimal morbidity, making it a viable option for various bladder conditions.
Area of Science:
- Pediatric Urology
- Surgical Techniques
Background:
- Button vesicostomy is an emerging alternative for managing pediatric urinary retention.
- It is considered when clean intermittent catheterization (CIC) is challenging due to patient age, sensation, or urethral issues.
Purpose of the Study:
- To review and evaluate the recent clinical experience with button vesicostomy in children.
- To assess the safety and efficacy of this bladder drainage method.
Main Methods:
- Retrospective review of pediatric patients who underwent button vesicostomy insertion between 1998 and 2011.
- Analysis of patient demographics, indications for the procedure, duration of use, and complication rates.
Main Results:
- Thirty children (4 days to 16 years) received button vesicostomy for various conditions including neuropathic, hypotonic, functional, and post-obstruction bladders.
- The median use duration was 11 months, with minor complications in 12 patients and major complications in 5.
- Indications included neuropathic bladders (n=15), congenital hypotonic bladders (n=6), functional bladder disorders (n=5), and post-obstruction bladders (n=4).
Conclusions:
- Button vesicostomy is a safe and suitable short- to medium-term management option for pediatric bladder drainage.
- The procedure is well-tolerated by families due to minimal morbidity.
- It serves as a valuable alternative to CIC, particularly for neuropathic bladders and temporary drainage needs.
