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Construction of continent catheterizable urinary conduit from an isolated segment of colon
1Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Background:
Continent urinary diversion may be necessary in a range of urological abnormalities. In circumstances where the standard techniques are not possible, alternative innovative techniques may be used.
Methods:
In a female patient with bladder exstrophy, a continent diversion was recommended. The appendix was not available, the ureters were not suitable and a continent stoma was fashioned from an isolated segment of colon.
Results:
The stoma proved to be continent, although it was somewhat stenotic. However, clean intermittent catheterization maintained its patency.
Conclusions:
A continent catheterizable stoma may be constructed from a segment of colon. The technique may be considered when other well recognized methods are not feasible.