Open AccessManaging intractable incontinence from a Yang-Monti channel in a case of enterocystoplasty with bladder neck closure – Challenges and a modified surgical technique
Author(s) -
Murali Krishna Padyala,
Sanjay Kalra,
Lalgudi Narayanan Dorairajan
Publication year - 2021
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/iju.iju_375_20
Subject(s) - medicine , closure (psychology) , surgery , neck of urinary bladder , channel (broadcasting) , urology , general surgery , urinary bladder , economics , electrical engineering , market economy , engineering
Incontinence in the Mitrofanoff principle varies between 2% and 40% and is a challenging problem to treat. Incontinence is even more when a Yang-Monti channel is used with simultaneous enterocystoplasty, probably due to ineffective submucosal tunneling owing to the inferior quality of bowel mucosa. Here, we report the management options of such problems along with a novel surgical technique.