Laparoscopic continent cutaneous urinary diversion using a modified Yang–Monti technique in an adult: A case report including 5-year follow-up
Abstract. Continuous cutaneous urinary diversion is challenging when the appendix is physically unavailable. The Yang–Monti channel is an alternative to the tunneled appendix for urinary diversion. We present a case involving a 49-year-old man who underwent total urethrectomy and cystostomy 10 month...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2024-03-01
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| Series: | Current Urology |
| Online Access: | http://journals.lww.com/10.1097/CU9.0000000000000230 |
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| author | Silu Chen Yuye Wu Peng Zhang Zhihua Li Xinfei Li Zhenyu Li Kunlin Yang Xuesong Li |
| author_facet | Silu Chen Yuye Wu Peng Zhang Zhihua Li Xinfei Li Zhenyu Li Kunlin Yang Xuesong Li |
| author_sort | Silu Chen |
| collection | DOAJ |
| description | Abstract. Continuous cutaneous urinary diversion is challenging when the appendix is physically unavailable. The Yang–Monti channel is an alternative to the tunneled appendix for urinary diversion. We present a case involving a 49-year-old man who underwent total urethrectomy and cystostomy 10 months previously. No tumor recurrence was observed; however, the patient experienced severe catheter-related bladder irritation after the procedure. The patient was readmitted to the authors’ hospital and underwent laparoscopic continent cutaneous urinary diversion using extracorporeal construction of a modified Yang–Monti channel. The operation lasted 232 minutes, with an estimated blood loss of 10 mL. The patient was discharged from hospital 6 days after surgery and removal of the cystostomy tube. After this, clean intermittent catheterization was performed every 3 hours for 4 weeks. Five years after the procedure, the modified Yang–Monti channel was still used for clean intermittent catheterization without any stomal stenosis being observed. The patient was satisfied with his postoperative quality of life. |
| format | Article |
| id | doaj-art-cecccb1fa4ef4846b1a26a9816034379 |
| institution | OA Journals |
| issn | 1661-7649 1661-7657 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Current Urology |
| spelling | doaj-art-cecccb1fa4ef4846b1a26a98160343792025-08-20T02:09:34ZengWolters Kluwer HealthCurrent Urology1661-76491661-76572024-03-01181717410.1097/CU9.0000000000000230202403000-00014Laparoscopic continent cutaneous urinary diversion using a modified Yang–Monti technique in an adult: A case report including 5-year follow-upSilu Chen0Yuye Wu1Peng Zhang2Zhihua Li3Xinfei Li4Zhenyu Li5Kunlin Yang6Xuesong Li7a Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Beijing, Chinab Department of Urology, Fujian Second People’s Hospital, Fuzhou, Chinac Department of Urology, Emergency General Hospital, Beijing, Chinaa Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Beijing, Chinaa Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Beijing, Chinaa Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Beijing, Chinaa Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Beijing, Chinaa Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Beijing, ChinaAbstract. Continuous cutaneous urinary diversion is challenging when the appendix is physically unavailable. The Yang–Monti channel is an alternative to the tunneled appendix for urinary diversion. We present a case involving a 49-year-old man who underwent total urethrectomy and cystostomy 10 months previously. No tumor recurrence was observed; however, the patient experienced severe catheter-related bladder irritation after the procedure. The patient was readmitted to the authors’ hospital and underwent laparoscopic continent cutaneous urinary diversion using extracorporeal construction of a modified Yang–Monti channel. The operation lasted 232 minutes, with an estimated blood loss of 10 mL. The patient was discharged from hospital 6 days after surgery and removal of the cystostomy tube. After this, clean intermittent catheterization was performed every 3 hours for 4 weeks. Five years after the procedure, the modified Yang–Monti channel was still used for clean intermittent catheterization without any stomal stenosis being observed. The patient was satisfied with his postoperative quality of life.http://journals.lww.com/10.1097/CU9.0000000000000230 |
| spellingShingle | Silu Chen Yuye Wu Peng Zhang Zhihua Li Xinfei Li Zhenyu Li Kunlin Yang Xuesong Li Laparoscopic continent cutaneous urinary diversion using a modified Yang–Monti technique in an adult: A case report including 5-year follow-up Current Urology |
| title | Laparoscopic continent cutaneous urinary diversion using a modified Yang–Monti technique in an adult: A case report including 5-year follow-up |
| title_full | Laparoscopic continent cutaneous urinary diversion using a modified Yang–Monti technique in an adult: A case report including 5-year follow-up |
| title_fullStr | Laparoscopic continent cutaneous urinary diversion using a modified Yang–Monti technique in an adult: A case report including 5-year follow-up |
| title_full_unstemmed | Laparoscopic continent cutaneous urinary diversion using a modified Yang–Monti technique in an adult: A case report including 5-year follow-up |
| title_short | Laparoscopic continent cutaneous urinary diversion using a modified Yang–Monti technique in an adult: A case report including 5-year follow-up |
| title_sort | laparoscopic continent cutaneous urinary diversion using a modified yang monti technique in an adult a case report including 5 year follow up |
| url | http://journals.lww.com/10.1097/CU9.0000000000000230 |
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