Langetermijn follow-up van katheteriseerbare vesicostoma’s bij kinderen, een vergelijking van verschillende technieken

Abstract

The objective of this study was to compare long-term results of the different techniques used to create continent catheterizable channels (CCC’s) in a single institution. Primary outcomes were revision free survival, stenosis and incontinence. A total of 117 CCC’s were included with median follow-up of 85 months. Surgical revision was required in 52% and laparotomy in 27% of cases. Stenosis requiring revision was seen in 33%. Complete revision was required in eight (7%) cases. A fausse route was formed in 9% of cases. A CCC is an elegant solution for children who experience problems with urethral catheterization. We found no significant differences in outcome between CCC’s from appendix or bladder flap, leading us to conclude that a bladder flap CCC is a good alternative solution if the appendix is not available and bladder volume is sufficient.