CONTINENT URINARY-DIVERSION USING PREPUTIAL PENILE OR CLITORAL SKIN FLAP

Purpose: We report our efforts to create an ideal continent urinary ca theterizable stoma. Materials and Methods: Our approach includes the c reation of a continent stoma using a preputial penile island skin flap in male patients and a preputial clitoral island skin flap in female patients. The flaps are transposed suprapubically, tubularized and imp lanted in a nonrefluxing manner into the bladder or other urinary rese rvoir. Results: From 1994 to April 1995 the technique was performed in 14 male patients 4 months to 42 years old and 7 female patients 4 to 14 years old. Early results were satisfactory at 2 to 12 months of fol lowup (mean 6). Conclusions: This technique could be an alternative to other methods of urinary continent diversion.