Continent transureteral vesicostomy
Abstract
The method consists of sectioning pelvic ureter as it crosses the iliac vessels. The proximal ureteric segment is anastomosed to the contralateral ureter. The distal segment is brought out onto the skin in the supra-pubic region. The patient catheterises himself via this stoma. The second phase of the operation consists of suppressing the urine flow by section-suture of the bladder neck proximally and of the urethra distally. Augmentation enterocystoplasty is almost always essential. Provided the patient is cooperative, this technique can ensure: perfect continence without the need for any form of appliance, complete bladder emptying and decompression of the upper urinary tract.
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