Continent bladder stoma

• Published in: World journal of urology Vol. 21; no. 3; pp. 123 - 127
• Main Authors: Dunglison, Nigel Timothy, Gardiner, Robert Alexander
• Format: Journal Article
• Language: English
• Published: Heidelberg Springer 01.08.2003; Berlin Springer Nature B.V; New York, NY
• Subjects: Biological and medical sciences; Cystostomy - methods; Humans; Medical sciences; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the urinary system; Urinary Catheterization; Urinary Reservoirs, Continent; Human; Continent; Urinary bladder; Bypass; Surgery; Bladder; Stoma; Urinary tract; Cystostomy; Vesicostomy
• ISSN: 0724-4983; 1433-8726
• DOI: 10.1007/s00345-003-0319-2

The formation of an aesthetically desirable urinary diversion through a continent bladder stoma requires a long-term commitment by both patient and urologist to monitoring patient progress and addressing problems, both urological and otherwise, which arise over time. In this manuscript, issues relating to physical aspects of surgical management are discussed. These include the nature of and site of the stoma and its catheterizing track, the continence mechanism, provision of a low-pressure storage system of adequate capacity and management of the bladder neck/urethra when incompetent. It is imperative that careful patient selection is practised at the outset when such surgery is contemplated, otherwise a satisfactory outcome is unlikely to ensue irrespective of the procedural skills employed operatively.