| Revista: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000296863 |
| ISSN: | 1677-5538 |
| Autors: | Liguori, Riberto1 Barroso Jr, Ubirajara2 Matos, Joao T Ottoni, Sergio L Garrone, Gilmar Demarchi, Guilherme T Ortiz, Valdemar Macedo Jr, Antonio |
| Institucions: | 1Universidade Federal de Sao Paulo, Divisao de Urologia, Sao Paulo. Brasil 2Universidade Federal da Bahia, Divisao de Urologia, Salvador, Bahia. Brasil |
| Any: | 2006 |
| Període: | Nov-Dic |
| Volum: | 32 |
| Número: | 6 |
| Paginació: | 689-696 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | OBJECTIVE: To evaluate the role of elective appendicovesicostomy in association with Monfort abdominoplasty to avoid urinary tract infection (UTI) and renal damage in the post-operative follow-up of patients with prune belly syndrome. MATERIALS AND METHODS: We followed 4 patients operated in our institution (UNIFESP) (Monfort, orchidopexy and Mitrofanoff) and compared them to 2 patients treated similarly, but without an appendicovesicostomy, in a second institution (UFBA). We evaluated postoperative clinical complications, UTI and preservation of renal parenchyma. Patients were followed as outpatients with urinalysis, ultrasonography (US) and occasionally with renal scintigraphy. RESULTS: Mean follow-up was 23.5 months. Immediate post-operative course was uneventful. We observed that only one patient with the Mitrofanoff channel persisted with UTI, while the 2 patients used as controls persisted with recurrent pyelonephritis (> 2 UTI year). CONCLUSION: Our data suggest that no morbidity was added by the appendicovesicostomy to immediate postoperative surgical recovery and that this procedure may have a beneficial effect in reducing postoperative UTI events and their consequences by reducing the postvoid residuals in the early abdominoplasty follow-up. However, we recognize that the series is small and only a longer follow-up with a larger number of patients will allow us to confirm our suppositions. We could not make any statistically significant assumptions regarding differences in renal preservation due to the same limitations |
| Disciplines | Medicina |
| Paraules clau: | Cirugía, Pediatría, Vejiga, Infecciones urinarias, Vías urinarias, Síndrome de Prune-Belly, Técnicas quirúrgicas |
| Keyword: | Medicine, Pediatrics, Surgery, Bladder, Urinary infections, Urinary tract, Prune belly syndrome, Surgical techniques |
| Text complet: | Texto completo (Ver HTML) |
