Abstract
We report our experience with cutaneous vesicostomies performed in 55 children aged less than 3 months to 8 years as a means of temporary diversion. Renal function improved or remained normal in 53 patients and hydronephrosis improved in 53 of 54 in whom it was present pre-operatively. Mucosal prolapse requiring revision occurred in 3 children. Spontaneous vesicostomy closure and stomal stenosis occurred in 2 patients each. Significant cellulitis occurred in 1 patient. Five children have required higher diversion; 35 have undergone undiversion an average of 24 months after vesicostomy creation. A vesicostomy is simple to construct and easy to manage, with minimal complications. The operation does not compromise future continence and is easily reversible.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Allen TD (1980) Vesicostomy for the temporary diversion of the urine in small children. J Urol 123: 929
Bell TE, Hoodin AO, Evans AT (1968) Tubless cystostomy in children. J Urol 100: 459
Blocksom BH Jr (1957) Bladder pouch for prolonged tubless cystostomy. J Urol 78: 398–401
Brady TW, Mebust WK, Valk WL, Foret JD, Sloss TB (1971) The cutaneous vesicostomy reappraised. J Urol 105: 81–84
Brock WA, Kaplan GW (1981) Urinary undiversion. In Current Trends in Urology, Resnick, MI. eds Williams and Wilkins, Baltimore, pp 42–69
Brock WA, So EP, Harbach LB, Kaplan GW (1981) Intermittent catherization in the management of neurogenic vesical dysfunction in children. J Urol 125: 391–393
Bruce RR, Gonzales ET Jr (1980) Cutaneous vesicostomy: A useful form of temporary diversion in children. J Urol 123: 927–928
Chiaramonte R, Horowitz E, Kaplan GW, Brock WA (1986) Implications of hydronephrosis in the newborn with myelodysplasia. J Urol 136: 427–429
Cohen JS, Harbach LB, Kaplan GW (1978) Cutaneous vesicostomy for temporary urinary diversion in infants with neurogenic bladder dysfunction. J Urol 119: 120–121
Duckett JW Jr (1974) Cutaneous vesicostomy in childhood: The Blocksom technique. Urol Clin North Am 1: 485–495
Kaplan GW, Brock WA (1985) Management of boys with posterior urethral valves. In: Whitaker R, Woodard J (eds) Urology, vol 3, Butterworths, London, pp 113–153
Lapides J, Ajemiam EP, Lichtwardt Jr (1960) Cutaneous vesicostomy. J Urol 84: 609–614
Lytton B, Weiss RM (1971) Cutaneous vesicostomy for temporary urinary diversion in infants. J Urol 105: 888–891
Mandell J, Bauer SB, Colodny AH, Retik AB (1981) Cutaneous vesicostomy in infancy. J Urol 126: 92–93
Myers DA, Walker DR III (1981) Prevention of urethral stricture in the management of posterior urethral valves. J Urol 126: 655–657
Nanninga J, King LR, Downing J, Burden JJ (1969) Factors affecting the outcome of 100 ureteral reimplantations done for vesicoureteral reflux. J Urol 102: 772–777
Noe HN, Jerkins GR (1985) Cutaneous vesicostomy. Experience in infants and children. J Urol 134: 301–303
Paquin AJ Jr, Howard RS, Gillenwater JY (1968) Cutaneous vasicostomy: modification of a technique. J Urol 99: 270–273
Rodriguez-Soriano J, Vallo A, Oliveros R, Castillo G (1983) Transient pseudohypoaldosteronism secondary to obstructive uropathy in infancy. J Pediatr 103: 375–380
Ross G Jr, Michener FR, Brady C Jr, Thompson IM (1965) Cutaneous vesicostomy: review of 36 cases. J Urol 94: 402–405
Snyder HM III, Kalichman MA, Charney E, Duckett JW (1983) Vesicostomy for neurogenic bladder with spina bifida: Follow-up. J Urol 130: 724–726
Author information
Authors and Affiliations
Additional information
Offprint requests to: W. A. Brock
Rights and permissions
About this article
Cite this article
Weinberg, J.J., Gordon, L., Nanigian, P. et al. Cutaneous vesicostomy for temporary urinary diversion in children. Pediatr Surg Int 4, 47–51 (1988). https://doi.org/10.1007/BF00173084
Issue Date:
DOI: https://doi.org/10.1007/BF00173084