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Macedo procedure: A continent catheterizable ileum-based reservoir. Step-by-step video
Eduardo Tosetto Cachoeira1, João Vitor Q Dos Santos1, Gabriel V da Silva1
1Urology Resident of Hospital de Clínicas de Porto Alegre, Brazil.
Abstract:
This video provides a case report of a 16-year-old male patient who underwent bladder enlargement with a catheterized conduit under Macedo's technique. This technique involves the use of a segment of the distal ileum with a flap that is used for confection of the conduit. Key points include: 1) skin incision planning; 2) bladder release to allow a tension-free anastomosis; 3) reservoir and a conduit creation with a distal ileum; and 4) creation of a continence mechanism.
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