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  • Title: [Continent urinary diversion in children: enterocystoplasty + appendiceo-cutaneostomy].
    Author: Pintér A, Farkas A, Hock A, Jainsch M.
    Journal: Orv Hetil; 1990 Apr 29; 131(17):913-7. PubMed ID: 2345637.
    Abstract:
    A continent urinary diversion was done by bladder augmentation using a cecal-colonic segment in total urinary incontinence in 3 patients aged 13, 16 and 21 years. The distal end of the appendix was brought to the skin. The narrow lumen of the appendix provides a closure mechanism in a low pressure urinary reservoir. A watertight, easily catheterizable urinary diversion might mean that there is no need to implant the distal end of the appendix into the bladder or colon in a submucous non-refluxing fashion as recommended by Mitrofanoff. The intermittent clean catheterization of the augmented bladder via the appendix was carried out at intervals of 3 hrs. 12-24 months after the establishment of urinary diversion the patients are free of complaints, socially fully accepted.
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