Preprint Case Report Version 1 Preserved in Portico This version is not peer-reviewed

Urethral Sheath To Evacuate Blood Clots Through Mitrofanoff Appendicovesicostomy

Marcello Della Corte
* ORCID logo ,
Erica Clemente
ORCID logo ,
Mattia Sibona
,
Elisa Cerchia
,
Berenice Tulelli
,
Paolo Gontero
,
Simona Gerocarni Nappo
Version 1 : Received: 13 May 2023 / Approved: 15 May 2023 / Online: 15 May 2023 (12:35:31 CEST)

A peer-reviewed article of this Preprint also exists.

Della Corte, M.; Clemente, E.; Sibona, M.; Cerchia, E.; Tulelli, B.; Gontero, P.; Gerocarni Nappo, S. Urethral Sheath to Evacuate Blood Clots through Mitrofanoff Appendicovesicostomy. Surgeries 2023, 4, 293-300. Della Corte, M.; Clemente, E.; Sibona, M.; Cerchia, E.; Tulelli, B.; Gontero, P.; Gerocarni Nappo, S. Urethral Sheath to Evacuate Blood Clots through Mitrofanoff Appendicovesicostomy. Surgeries 2023, 4, 293-300.

Abstract

Background: a 17 years-old girl with a Mitrofanoff appendicovesicostomy developed a large bladder clot due to hematuria after a surgical cystolithotomy in an augmented bladder. Trans-urethral approaches were not feasible due to a previous surgical closure of the bladder neck. Methods: after an unsuccessful trans-appendicovesicostomy bladder washing, the endoscopic evaluation was performed using a 14 Ch rigid cystoscope, surrounded by its own urethral sheath. The clot was progressively fragmented through the cystoscope and a urethral catheter under direct vision. Clot fragments were aspirated obtaining a complete evacuation; Results: the urethral sheath prevented damages to the appendicovesicostomy, allowing at the same time repeated accesses of the cystoscope into the neobladder and ensuring the success of the procedure; Conclusions: the use of urethral sheath 14 Ch though an appendicovesicostomy preserves both the stoma and the channel, making possible endoscopic procedures as blood clot evacuation into the neobladder.

Keywords

Mitrofanoff; appendicovesicostomy; clots; hematuria; augmented bladder; urethral sheath; bladder tamponade

Subject

Medicine and Pharmacology, Urology and Nephrology

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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