An approach to undiversion in children

Area of Science:

• Urology
• Surgical Innovation

Background:

• Urinary drainage bags are a common management tool for urinary incontinence.
• Alternative methods aim to improve patient quality of life and reduce reliance on external devices.

Purpose of the Study:

• To review the outcomes of patients who underwent urinary tract reconstruction or ureterosigmoidostomy to eliminate the need for urinary drainage bags.

Main Methods:

• Retrospective review of 21 patients undergoing urinary tract reconstruction or ureterosigmoidostomy.
• Assessment of urinary continence, stoma management, and renal function post-surgery.

Main Results:

• 17 patients had urinary tract reconstruction: 14 continent, 1 nocturnal incontinence, 2 total incontinence.
• 3 patients had ureterosigmoidostomy: 2 dry, 1 nocturnal incontinence.
• 1 patient uses a catheterizable stoma and is dry.
• Follow-up averaged 1.5 years; renal function and upper tracts remained stable.

Conclusions:

• Urinary tract reconstruction and ureterosigmoidostomy can be effective in achieving urinary continence.
• These procedures offer a viable alternative to urinary drainage bags for select patients.
• Short-term follow-up indicates stable renal function and upper urinary tracts post-intervention.