Continent urinary diversion using preputial penile or clitoral skin flap

Area of Science:

• Urology
• Surgical Innovation
• Reconstructive Surgery

Background:

• Urinary diversion is crucial for managing bladder dysfunction.
• Continent urinary diversion offers improved quality of life by eliminating external appliances.
• Development of reliable and user-friendly catheterizable stomas remains an ongoing challenge.

Purpose of the Study:

• To describe a new surgical technique for creating an ideal continent urinary catheterizable stoma.
• To evaluate the feasibility and early outcomes of this innovative approach.

Main Methods:

• Utilized preputial penile island skin flaps in males and preputial clitoral island skin flaps in females.
• Transposed flaps suprapubically, tubularized them, and implanted them into the urinary reservoir in a nonrefluxing manner.
• Performed the procedure in pediatric and adult patients requiring urinary diversion.

Main Results:

• The technique was successfully applied to 14 male and 7 female patients between 1994 and 1995.
• Patient age ranged from 4 months to 42 years.
• Satisfactory early outcomes were observed with a follow-up period of 2 to 12 months (mean 6 months).

Conclusions:

• This novel technique provides a promising alternative for continent urinary diversion.
• The use of localized skin flaps offers a potentially effective method for stoma creation.
• Further long-term studies are warranted to confirm the durability and efficacy of this approach.