Abstract
We report our experience with cutaneous vesicostomies performed in 55 children aged less than 3 months to 8 years as a means of temporary diversion. Renal function improved or remained normal in 53 patients and hydronephrosis improved in 53 of 54 in whom it was present pre-operatively. Mucosal prolapse requiring revision occurred in 3 children. Spontaneous vesicostomy closure and stomal stenosis occurred in 2 patients each. Significant cellulitis occurred in 1 patient. Five children have required higher diversion; 35 have undergone undiversion an average of 24 months after vesicostomy creation. A vesicostomy is simple to construct and easy to manage, with minimal complications. The operation does not compromise future continence and is easily reversible.
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