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char = g;code = 103
char = e;code = 101
char = ?;code = 63
result sql = Is continent urinary diversion feasible in children under five years of age?
Is continent urinary diversion feasible in children under five years of age?
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char = P;code = 80
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char = <;code = 60
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char = T;code = 84
char = E;code = 69
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char = I;code = 73
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char = L;code = 76
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char = A;code = 65
char = N;code = 78
char = D;code = 68
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char = M;code = 77
char = E;code = 69
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char = H;code = 72
char = O;code = 79
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char = a;code = 97
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char = n;code = 110
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char = e;code = 101
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char = ;code = 32
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char = ;code = 32
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char = a;code = 97
char = r;code = 114
char = y;code = 121
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char = a;code = 97
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char = R;code = 82
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char = S;code = 83
char = U;code = 85
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char = S;code = 83
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result sql = PURPOSE: To review our clinical experience with urinary continent catheterizable reservoir in children under five years of age.

MATERIALS AND METHODS: A total of 23 patients (16 males, 7 females) with a median age of 3.64 years were evaluated. Among these, 6 (26.08%) had a posterior urethral valve, 9 (39.13%) myelomeningocele, 4 (17.39%) bladder exstrophy, 2 (8.69%) genitourinary rabdomyosarcoma, 1 (4.34%) had spinal tumor and 1 (4.34%) an ano-rectal anomaly.

RESULTS: Perioperative complications were observed in four patients consisting of one febrile urinary tract infection, one partial operative wound dehiscence, one partial stomal dehiscence and one vesico-cutaneous fistula after a secondary exstrophy repair. The overall long-term complications rate was 40.90% and consisted of two stomal stenoses (9.09%), one neobladder mucosal extrusion (4.54%), three neobladder calculi (13.63%) and persistence of urinary incontinence in three patients (13.63%). The overall surgical revision was 36.36% and final continence rate was 95.45% with mean follow-up of 39.95 months

CONCLUSION: Continent urinary diversion is technically feasible even in small children, with acceptable rates of complications.

Publication: Int Braz J Urol 2009 Jul-Aug ;35(4)::459-66.
Publication Date: 2009 Jul-Aug
Study Author(s): Barbosa, Luiz L;Liguori, Riberto;Ottoni, Sergio L;Barroso, Ubirajara;Ortiz, Valdemar;Macedo, Antonio;
Institution: Division of Urology, Federal University of Sao Paulo, Sao Paulo, Brazil.
Shortcut link to this study:
PURPOSE: To review our clinical experience with urinary continent catheterizable reservoir in children under five years of age.

MATERIALS AND METHODS: A total of 23 patients (16 males, 7 females) with a median age of 3.64 years were evaluated. Among these, 6 (26.08%) had a posterior urethral valve, 9 (39.13%) myelomeningocele, 4 (17.39%) bladder exstrophy, 2 (8.69%) genitourinary rabdomyosarcoma, 1 (4.34%) had spinal tumor and 1 (4.34%) an ano-rectal anomaly.

RESULTS: Perioperative complications were observed in four patients consisting of one febrile urinary tract infection, one partial operative wound dehiscence, one partial stomal dehiscence and one vesico-cutaneous fistula after a secondary exstrophy repair. The overall long-term complications rate was 40.90% and consisted of two stomal stenoses (9.09%), one neobladder mucosal extrusion (4.54%), three neobladder calculi (13.63%) and persistence of urinary incontinence in three patients (13.63%). The overall surgical revision was 36.36% and final continence rate was 95.45% with mean follow-up of 39.95 months

CONCLUSION: Continent urinary diversion is technically feasible even in small children, with acceptable rates of complications.
PMID: 19719862

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