Search

Byline: Parag Tapre (1), Sudipta Sen (1), Jacob Chacko (1), Sampath Karl (1) Keywords: Bladder augmentation; Ureteric Mitrofanoff; Reimplantation Abstract: To study the fate of a refluxing ureteral stump used as a Mitrofanoff channel (MC) for clean intermittent catheterization (CIC), without reimplantation in augmented bladders. Ten boys and seven girls, 1--14 years old (mean 6.5 years) seen in period 1998--2005, underwent creation of MC using refluxing or potentially refluxing ureters. Concomitant bladder augmentation (BA) was performed for various abnormalities of lower urinary tract, including exstrophy epispadias complex, neurogenic bladder cloaca and posterior urethral valve. The uretero-vesical junction was maintained intact during creation of the MC. Follow-up period ranged from 2--72 months (mean 32.5 months). Satisfactory CIC was possible in 14 children while in two children the stoma became obstructed due to non-usage. Urinary leak via the ureteric MC was seen in only one patient who partially responded to anticholinergic therapy and a shortened CIC interval but this needed to be formally closed subsequently. A refluxing ureter can be used in the creation of a MC without formal reimplantation in the majority of children undergoing BA. Author Affiliation: (1) Department of Paediatric Surgery, Christian Medical College and Hospital, 632004, Vellore, TN, India Article History: Registration Date: 14/09/2005 Accepted Date: 02/05/2005 Online Date: 25/11/2005

Byline: Jacob Chacko (1), Sudipta Sen (1), Sampath Karl (1), John Mathai (1) Keywords: Perineal canal; Labial fat Abstract: Perineal canal, a not so uncommon deformity in Asian countries, sometimes breaks down after the usual techniques of repair. The labial pad of fat with its vascular supply provides good tissue for interposition between the rectal and perineal suture lines in these cases, with good results. Author Affiliation: (1) Department of Paediatric Surgery, Christian Medical College, Vellore, 632004, India Article History: Registration Date: 10/07/2006 Accepted Date: 04/05/2006 Online Date: 15/08/2006