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Minimizing stomal stenosis in appendicovesicostomy using the modified umbilical stoma
A E Khoury1, J G Van Savage, G A McLorie
1Department of Surgery, Hospital for Sick Children, University of Toronto, Ontario, Canada.
The Journal of Urology
|June 1, 1996
Summary
A modified umbilical stoma technique for continent urinary diversion via appendicovesicostomy offers excellent cosmetic results. This method ensures good stomal function, with only 8% requiring revision for stenosis.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Continent urinary diversion is a complex surgical procedure.
- Appendicovesicostomy is a common technique for urinary diversion.
- Stoma creation is a critical component affecting patient outcomes and cosmesis.
Purpose of the Study:
- To describe a modified umbilical stoma technique.
- To evaluate its application in continent urinary diversion using appendicovesicostomy.
Main Methods:
- A modified umbilical stoma was created using an eversion-inversion principle.
- This technique was applied in 25 patients undergoing appendicovesicostomy.
Main Results:
- Follow-up averaged 3 years.
- Excellent cosmetic outcomes were observed in all cases.
- Stomal stenosis occurred in 8% of patients, necessitating surgical revision.
Conclusions:
- The modified umbilical stoma technique is recommended for appendicovesicostomy.
- It provides superior cosmesis without compromising stomal function.