Initial experience using a catheterizable ileovesicostomy (Monti procedure) in children

Mark P. Cain, Anthony J. Casale, Richard C. Rink

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Objectives. To present a review of our experience using the recently described Monti ileovesicostomy as an alternative to appendicovesicostomy as a continent catheterizable stoma in children. Methods. Between January and December 1997, a Monti ileovesicostomy was performed as part of a reconstructive procedure in 13 children. Mean patient age was 11 years, and diagnosis included neurogenic bladder in 11 patients, cloacal exstrophy in 1, and cloacal anomaly in 1 patient. Simultaneous bladder augmentation was performed in 10 children, bladder neck reconstruction or closure in 7, and Malone antegrade continent enema (MACE) in 4. Results. All 13 patients have continent stomas (100%) and catheterize the Monti ileovesicostomy without difficulty. Mean follow-up was 7 months (range 1 to 14), and there have been no stomal problems or postoperative complications attributed to the ileal channel. Conclusions. The Monti ileovesicostomy is a new technique for creation of a continent catheterizable stoma and has allowed preservation of the appendix for the MACE procedure, providing an additional option in patients with an absent or inadequate appendix. Early results of this technique for pediatric reconstruction have been excellent.

Original languageEnglish (US)
Pages (from-to)870-873
Number of pages4
JournalUrology
Volume52
Issue number5
DOIs
StatePublished - Nov 1998
Externally publishedYes

Fingerprint

Enema
Urinary Bladder
Neurogenic Urinary Bladder
Pediatrics

ASJC Scopus subject areas

  • Urology

Cite this

Initial experience using a catheterizable ileovesicostomy (Monti procedure) in children. / Cain, Mark P.; Casale, Anthony J.; Rink, Richard C.

In: Urology, Vol. 52, No. 5, 11.1998, p. 870-873.

Research output: Contribution to journalArticle

Cain, Mark P. ; Casale, Anthony J. ; Rink, Richard C. / Initial experience using a catheterizable ileovesicostomy (Monti procedure) in children. In: Urology. 1998 ; Vol. 52, No. 5. pp. 870-873.
@article{aab41673cb1d45f4b12c771061bd4753,
title = "Initial experience using a catheterizable ileovesicostomy (Monti procedure) in children",
abstract = "Objectives. To present a review of our experience using the recently described Monti ileovesicostomy as an alternative to appendicovesicostomy as a continent catheterizable stoma in children. Methods. Between January and December 1997, a Monti ileovesicostomy was performed as part of a reconstructive procedure in 13 children. Mean patient age was 11 years, and diagnosis included neurogenic bladder in 11 patients, cloacal exstrophy in 1, and cloacal anomaly in 1 patient. Simultaneous bladder augmentation was performed in 10 children, bladder neck reconstruction or closure in 7, and Malone antegrade continent enema (MACE) in 4. Results. All 13 patients have continent stomas (100{\%}) and catheterize the Monti ileovesicostomy without difficulty. Mean follow-up was 7 months (range 1 to 14), and there have been no stomal problems or postoperative complications attributed to the ileal channel. Conclusions. The Monti ileovesicostomy is a new technique for creation of a continent catheterizable stoma and has allowed preservation of the appendix for the MACE procedure, providing an additional option in patients with an absent or inadequate appendix. Early results of this technique for pediatric reconstruction have been excellent.",
author = "Cain, {Mark P.} and Casale, {Anthony J.} and Rink, {Richard C.}",
year = "1998",
month = "11",
doi = "10.1016/S0090-4295(98)00301-X",
language = "English (US)",
volume = "52",
pages = "870--873",
journal = "Urology",
issn = "0090-4295",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Initial experience using a catheterizable ileovesicostomy (Monti procedure) in children

AU - Cain, Mark P.

AU - Casale, Anthony J.

AU - Rink, Richard C.

PY - 1998/11

Y1 - 1998/11

N2 - Objectives. To present a review of our experience using the recently described Monti ileovesicostomy as an alternative to appendicovesicostomy as a continent catheterizable stoma in children. Methods. Between January and December 1997, a Monti ileovesicostomy was performed as part of a reconstructive procedure in 13 children. Mean patient age was 11 years, and diagnosis included neurogenic bladder in 11 patients, cloacal exstrophy in 1, and cloacal anomaly in 1 patient. Simultaneous bladder augmentation was performed in 10 children, bladder neck reconstruction or closure in 7, and Malone antegrade continent enema (MACE) in 4. Results. All 13 patients have continent stomas (100%) and catheterize the Monti ileovesicostomy without difficulty. Mean follow-up was 7 months (range 1 to 14), and there have been no stomal problems or postoperative complications attributed to the ileal channel. Conclusions. The Monti ileovesicostomy is a new technique for creation of a continent catheterizable stoma and has allowed preservation of the appendix for the MACE procedure, providing an additional option in patients with an absent or inadequate appendix. Early results of this technique for pediatric reconstruction have been excellent.

AB - Objectives. To present a review of our experience using the recently described Monti ileovesicostomy as an alternative to appendicovesicostomy as a continent catheterizable stoma in children. Methods. Between January and December 1997, a Monti ileovesicostomy was performed as part of a reconstructive procedure in 13 children. Mean patient age was 11 years, and diagnosis included neurogenic bladder in 11 patients, cloacal exstrophy in 1, and cloacal anomaly in 1 patient. Simultaneous bladder augmentation was performed in 10 children, bladder neck reconstruction or closure in 7, and Malone antegrade continent enema (MACE) in 4. Results. All 13 patients have continent stomas (100%) and catheterize the Monti ileovesicostomy without difficulty. Mean follow-up was 7 months (range 1 to 14), and there have been no stomal problems or postoperative complications attributed to the ileal channel. Conclusions. The Monti ileovesicostomy is a new technique for creation of a continent catheterizable stoma and has allowed preservation of the appendix for the MACE procedure, providing an additional option in patients with an absent or inadequate appendix. Early results of this technique for pediatric reconstruction have been excellent.

UR - http://www.scopus.com/inward/record.url?scp=0031740356&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031740356&partnerID=8YFLogxK

U2 - 10.1016/S0090-4295(98)00301-X

DO - 10.1016/S0090-4295(98)00301-X

M3 - Article

C2 - 9801117

AN - SCOPUS:0031740356

VL - 52

SP - 870

EP - 873

JO - Urology

JF - Urology

SN - 0090-4295

IS - 5

ER -