elective appendicovesicostomy in association with monfort abdominoplasty in the treatment of prune belly syndrome

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ID: 162606
2006
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Ranked #36 of 133 articles by views in psychotherapy and psychosomatics

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Resumen
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.
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liguori2006internationalelective Use esta clave para autocitar en el manuscrito mientras usa SciMatic Manuscript Manager o Thesis Manager
Autores ;Riberto Liguori;Ubirajara Barroso Jr;Joao T. Matos;Sergio L. Ottoni;Gilmar Garrone;Guilherme T. Demarchi;Valdemar Ortiz;Antonio Macedo Jr
Revista psychotherapy and psychosomatics
Ano 2006
DOI
10.1590/S1677-55382006000600010
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382006000600010
Palabras Clave
bladder surgical procedures urology

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