A NEW CONTINENT VESICOSTOMY TECHNIQUE - PRELIMINARY-REPORT

Purpose: A continent vesicostomy was constructed without use of segmen ts taken from other organs, providing a continent and esthetically acc eptable stoma. Materials and Methods: We used this technique in 4 fema le and 3 male patients. A bladder wall flap with the base near the bla dder neck was tubularized creating a neourethra. To add to the resting closure pressure at the neourethra this tube was passed through cross ed strands separated from the right and left rectus muscles near the p ubis. The crossing strands of the rectus muscles provided lateral pres sure to the neourethra, which added to the resting closure pressure. T he stoma opened at the level of the pubic hair line in 6 patients and under the umbilicus in 1. Results: Mean followup was 28 months (range 3 to 42). During this period all patients remained dry day and night b etween self-catheterizations. Conclusions: This technique allows for g ood continence with an easily accessible stoma without use of segments from other organs.