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The modified rectal bladder in children: long-term follow-up
M S Dawaba1, A Dawood, M A Ghoneim
1Urology and Nephrology Center, Mansoura, Egypt.
World Journal of Urology
|January 1, 1996
Summary
This study highlights the modified rectal bladder as a safe and effective urinary diversion for children. The procedure ensures daytime and nighttime continence and preserves upper tract function, making it ideal for long-term pediatric care.
Area of Science:
- Pediatric Urology
- Surgical Innovation
- Urinary Diversion Techniques
Background:
- Urinary diversion in children requires strict evaluation due to long life expectancy.
- The modified rectal bladder procedure offers a potential solution for long-term urinary diversion needs.
Purpose of the Study:
- To report the experience and outcomes of a modified rectal bladder procedure in pediatric patients.
- To evaluate the efficacy and safety of this technique for long-term urinary diversion.
Main Methods:
- A cohort of pediatric patients underwent a modified rectal bladder procedure.
- Follow-up included assessment of continence, upper tract function via urography, and metabolic/growth parameters.
Main Results:
- All patients achieved daytime and nighttime continence.
- Urography confirmed normal upper urinary tracts without reflux.
- Metabolic status and growth rates were within normal limits; renal pelvis urine samples were sterile.
Conclusions:
- The modified rectal bladder with an ileal intussusception valve is a highly effective urinary diversion for children.
- This technique demonstrates excellent long-term outcomes, including continence and preservation of renal function.