Recommendation: Despite a lack of high-quality studies, cutaneous vesicostomy
in the terminal or refractory pediatric patient offers potentially reversible direct bladder access for clot evacuation and application of topical therapies, while also allowing for possible removal of painful urethral catheters.
Primary valve resection was performed in 101 patients (55.8%) and vesicostomy
in 80 (44.2%).
In our study, a temporary drainage procedure in the form of cutaneous vesicostomy
is employed in 12 infants who present with renal failure, cystoscopic fulguration in 9 cases and cystoscopic fulguration + vesicostomy
in 2 cases.
In group I (sham), only the abdominal cavity was opened, with dissection of the carotid, jugular, vesicostomy
and introduction of Veress needle (without pneumoperitoneum), as well as collection of blood and urine as previously reported to measure the inulin clearance.
 reported preoperative and postoperative mean serum creatinine was 1.6 +/- 1.5 and 0.7 +/- 0.2 mg/dl, for the fulguration group and 1.7 +/- 1.5 and 0.9 +/- 0.7 mg/dl, respectively, for the vesicostomy
was first performed and the postoperative course was uneventful.
Ashleigh has undergone a vesicostomy
and also a gastrostomy but at last she is now at home with mum and dad and Leah.
Surgery was performed in 15 patients which included open pyeloplasty in 11 vesicostomy
followed by posterior valve fulguration in 4 patients.
* Cutaneous vesicostomy
is sometimes performed for those infants with advanced renal failure, but it does not offer any advantage over primary valve ablation when comparing preservation of renal function.
(placement of a catheter into the bladder) was performed, allowing urine to pass until definitive revision of the obstruction postnatally (1).
Due to recurrent breakthrough infections, vesicostomy
was performed after 2.5 months.
In some instances a continent vesicostomy
may be surgically created.