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Type: Artigo de periódico
Title: Umbilical grafting in treatment of recurrent stomal stenosis
Author: Arturo, C
D'Ancona, L
Miyaoka, R
Lkarl, LY
Henrique, P
Nunes, F
Abstract: OBJECTIVES 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. METHODS 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. RESULTS 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. CONCLUSIONS The results of our study have shown that umbilical grafting is a viable option for the treatment of recurrent stomal and urethral stenosis.
Country: EUA
Editor: Elsevier Science Inc
Rights: fechado
Identifier DOI: 10.1016/j.urology.2007.11.085
Date Issue: 2008
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

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