C A Sheldon1, A Gilbert. 1. Children's Hospital Medical Center, University of Cincinnati, Ohio.
Abstract
BACKGROUND: The presence of the cecal appendix offers a unique opportunity for the achievement of urinary continence and stable access to the reconstructed urinary bladder. METHODS: We have reviewed the cases of 17 children treated over a 56-month period whose urinary anomalies have required the construction of a neourethra. Fourteen of these patients underwent neourethral reconstruction by use of the appendix. RESULTS: All neourethras are easily catheterized, and all are continent. CONCLUSIONS: The ease of application of this reconstructive modality along with its high success rate makes incidental appendectomy contraindicated in children with congenital anomalies of the bladder.
BACKGROUND: The presence of the cecal appendix offers a unique opportunity for the achievement of urinary continence and stable access to the reconstructed urinary bladder. METHODS: We have reviewed the cases of 17 children treated over a 56-month period whose urinary anomalies have required the construction of a neourethra. Fourteen of these patients underwent neourethral reconstruction by use of the appendix. RESULTS: All neourethras are easily catheterized, and all are continent. CONCLUSIONS: The ease of application of this reconstructive modality along with its high success rate makes incidental appendectomy contraindicated in children with congenital anomalies of the bladder.