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Type: Artigo de periódico
Title: Umbilical Grafting In Treatment Of Recurrent Stomal Stenosis.
Author: Levi D'Ancona, Carlos Arturo
Miyaoka, Ricardo
Ikari, Lia Yumi
Nunes, Paulo Henrique Facchina
Abstract: The continent catheterizable conduit was first described by Mitrofanoff and is a good option for treating patients with urinary incontinence of different etiologies and those unable to perform transurethral self-catheterization. Stomal stenosis is the most common minor complication involved in this procedure and often is not an easily dealt with problem. Stenosis has a tendency to recur, and the surgical approach becomes progressively more difficult because of local fibrosis and retraction. We present our initial experience with a new surgical technique involving umbilical grafting for the treatment of stomal and urethral meatal stenosis. Four female patients who presented with either recurrent stomal or urethral meatal stenosis underwent a new surgical approach with umbilical grafting for treatment. We present the results of this new technique. The initial clinical results of this innovative technique, at a median of 4 months of follow-up, showed that all 4 patients remained continent and mostly satisfied with their voiding pattern. The results of our study have shown that umbilical grafting is a viable option for the treatment of recurrent stomal and urethral stenosis.
Subject: Adult
Constriction, Pathologic
Middle Aged
Surgical Stomas
Urethral Stricture
Urologic Surgical Procedures
Citation: Urology. v. 71, n. 6, p. 1124-7, 2008-Jun.
Rights: fechado
Identifier DOI: 10.1016/j.urology.2007.11.085
Date Issue: 2008
Appears in Collections:Unicamp - Artigos e Outros Documentos

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