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Tubularized Bladder Flap as a Continent Catheterizable Channel in Adults
Pepijn D Polm1, Michel I A Wyndaele1, Pieter Dik1
1UMC Utrecht, Department of Urology, Utrecht, The Netherlands.
Urology
|March 12, 2024
Summary
The tubularized bladder flap (TBF) offers a less invasive surgical option for creating a continent catheterizable channel (CCC) in adults. This technique avoids bowel complications and shows comparable revision rates to other methods.
Area of Science:
- Urology
- Surgical Techniques
Background:
- Continent catheterizable channels (CCCs) are essential for managing urinary incontinence.
- Traditional techniques may involve significant bowel manipulation and associated complications.
Purpose of the Study:
- To describe and evaluate a modified, less invasive surgical technique for creating a CCC in adults: the tubularized bladder flap (TBF).
Main Methods:
- Retrospective review of adult patients undergoing TBF CCC creation between 2019 and 2023.
- Analysis of demographics, operative outcomes, and short-term/long-term complications.
Main Results:
- 11 adult patients (10 female) were included.
- Median operative time was 96 minutes with minimal blood loss (<100 cc).
- 55% experienced grade 1 Clavien Dindo complications within 30 days; no bowel complications occurred. Revision rates for stenosis (18%) and stomal leakage (27%) were noted.
Conclusions:
- TBF CCC creation avoids intraperitoneal surgery and bowel complications.
- Revision rates appear comparable to other CCC techniques.
- TBF is a viable, less invasive option for CCC creation in patients with adequate bladder capacity.
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