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Yang-Monti's Catheterizable Stoma in Children.

AbstractBACKGROUND:
In 1981, Mitrofanoff described a procedure to create a continent urinary stoma for clean intermittent catheterization. Since then several procedures have been described including Yang-Monti ileovesicostomy for effective catheterization.
OBJECTIVES:
We report on our experience from the use of Monti's procedure in children at our center.
PATIENTS AND METHODS:
Children < 18 years of age undergoing urinary diversion/reconstruction with Yang-Monti's procedure for congenital conditions or neuropathic bladder formed the study group. All these children, post-operatively were taught clean intermittent catheterization (CIC) and put on a regime using a 14/16 Fr catheter every 3 hours. The children were followed regularly at 3, 6, 12, 18 and 24months post-operatively, with special attention paid to any problems with catheterization and incontinence.
RESULTS:
During the period from Jan 2000 to Dec 2011, at our center, 19 children less than eighteen years of age underwent urinary diversion with Yang-Monti's catheterizable stoma. The indications for urinary diversion was neuropathic bladder in eight, exstrophy bladder in seven , valve bladder syndrome in three and persistent urethral stricture in one. None of the children found CIC difficult during the post-operative period and there was no hindrance to the passage of the catheter.
CONCLUSIONS:
Although the appendix remains the tissue of choice for creation of catherterizable stoma, the Yang-Monti ileovesicostomy is effective, convenient conduit for children. Long-term complications are minimal and children find this comfortable to do CIC.
AuthorsRajendra Bapusaheb Nerli, Shivagouda Malgouda Patil, Murigendra Basayya Hiremath, Mallikarjun Reddy
JournalNephro-urology monthly (Nephrourol Mon) Vol. 5 Issue 3 Pg. 801-5 (Jul 01 2013) ISSN: 2251-7006 [Print] Netherlands
PMID24282789 (Publication Type: Journal Article)

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