Continent cystostomies - indications, surgical technique, complications and management
Abstract
INTRODUCTION: To specifically introduce continent cystostomy - indications, surgical technique, complications and management - to the nurses working in a urology department.
METHOD: The present article is based on a review of the literature and author's experience in continent cystostomy.
RESULTS: Continent cystostomy is a neo-conduit placed between the bladder and the anterior abdominal wall using the digestive tract. It is usually performed in patients with bladder voiding dysfunction who cannot undergo clean self-intermittent catheterization through the urethra. The high success rate (>84%) associated with this procedure should not hide the frequent associated complications with the conduit.
CONCLUSION: Even if continent cystostomy is associated with good mid- and long-term functional outcomes, it requires a close follow-up and in some cases "adjustments".
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