Bilal Farhan1*, Preston S Kerr1, Sandy T Reynolds1, Elliott P Freudenburg2, Tamer J Dafashy1 and Gamal Ghoniem3
1Department of Urology, The University of Texas Medical Branch at Galveston, USA 2Department of Medicine, The University of Texas Medical Branch at Galveston, USA 3Department of Urology, University of California, USAFulltext PDF
Objective: To describe the application of the two circular incisions technique to treat stenosis of a Continent Catherizable Channel (CCC). Materials and Methods: A 59 year old female presented to clinic with difficulty catheterizing her umbilical ileovesicostomy and was found to have stomal stenosis at the level of the skin. The patient was taken to the operating room and the stomal stenosis was managed using a two circular incisions technique. Results: The patient was seen for subsequent follow-up and noted to have excellent healing with no recurrence of stenosis. Conclusion: Continent Catherizable Channels (CCC) can be a life-changing procedure that drastically improves a patient’s quality of life. Stomal stenosis is a common complication. The two circular incision techniques is viable method for managing stomal stenosis.
Urinary diversion; Continent catherizable channel; Appendicovesicostomy; Yangmonti; Stomalstenosis; Ileovesicostomy
Farhan B, Kerr PS, Reynolds ST, Freudenburg EP, Dafashy TJ, Ghoniem G. Application of the Two Circles Technique in the Management of Stomalstenosis of a Continent Catherizable Channel. J Surg Tech Proced. 2020;4(2):1036..