Minimizing stomal stenosis in appendicovesicostomy using the modified umbilical stoma.
case_series · Level IV
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Abstract
We describe creation of a modified umbilical stoma as part of continent urinary diversion using appendicovesicostomy. Umbilical stomas were created using the eversion-inversion principle in 25 patients undergoing appendicovesicostomy. Mean followup was 3 years. Cosmesis of the umbilical stoma was good in all cases. Stomal stenosis required surgical revision in 8% of cases. We recommend our modified umbilical stomal technique for appendicovesicostomy because it allows good cosmesis without compromising stomal function.
Medical subject headings
- Umbilicus
- Urinary Reservoirs, Continent