Advances in bladder substitution and creation of neobladders in children

Jennifer E Reifsnyder1, Moneer K Hanna2

  • 1Division of Pediatric Urology, Cohen Children's Medical Center, Northwell Health, New Hyde Park, NY, 11040, USA.

F1000Research
|December 12, 2019
PubMed

Insights

Pediatric cystectomy (bladder removal) and urinary diversion are rare but essential for conditions like bladder exstrophy or cancer. This article reviews surgical advances for creating continent urinary diversions in children.

Area of Science:

  • Pediatric urology
  • Surgical innovation

Background:

  • Cystectomy and bladder substitution are uncommon pediatric procedures.
  • Indications include bladder exstrophy, malignancy, and severe bladder dysfunction.

Purpose of the Study:

  • To detail advances in surgical techniques for continent urinary diversion in children.
  • Focus on specialized pediatric population requiring bladder substitution.

Main Methods:

  • Review of recent surgical advancements.
  • Focus on techniques for creating continent urinary diversions.

Main Results:

  • Advances in surgical techniques have improved outcomes for pediatric urinary diversion.
  • New methods offer continent urinary options for complex cases.

Conclusions:

  • Surgical techniques for pediatric cystectomy and urinary diversion continue to evolve.
  • These advances provide better functional outcomes for children needing bladder substitution.

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