Continent urinary diversion using preputial penile or clitoral skin flap
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1Department of Urology, University Children's Hospital, Belgrade, Yugoslavia.
Purpose:
We report our efforts to create an ideal continent urinary catheterizable stoma.
Materials And Methods:
Our approach includes the creation of a continent stoma using a preputial penile island skin flap in male patients and a preputial clitoral island skin flap in female patients. The flaps are transposed suprapubically, tubularized and implanted in a nonrefluxing manner into the bladder or other urinary reservoir.
Results:
From 1994 to April 1995 the technique was performed in 14 male patients 4 months to 42 years old and 7 female patients 4 to 14 years old. Early results were satisfactory at 2 to 12 months of follow up (mean 6).
Conclusions:
This technique could be an alternative to other methods of urinary continent diversion.