V05-08 Ileal-Ileocystoplasty Fistula Managed With Minimally Invasive Approaches

You have accessJournal of UrologyPediatrics (V05)1 May 2024V05-08 ILEAL-ILEOCYSTOPLASTY FISTULA MANAGED WITH MINIMALLY INVASIVE APPROACHES Arriana Rieland, Michael Chen, Roman Sydorak, and Gene Huang Arriana RielandArriana Rieland , Michael ChenMichael Chen , Roman SydorakRoman Sydorak , and Gene HuangGene Huang View All Author Informationhttps://doi.org/10.1097/01.JU.0001009516.84627.21.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: This video aims to address the management of an ileal-ileocystoplasty fistula through a minimally invasive approach. METHODS: The video highlights a case of a 21-year-old female with a history of neurogenic bladder secondary to tethered cord. The patient had previously undergone augmentation ileocystoplasty at the age of 10, followed by open cystolithotomy at the age of 17 for the removal of bladder stones. After the open cystolithotomy, she started to lose weight, had persistent bladder discomfort, and noted a change in the quality of her urine. Further evaluation with a cystogram demonstrated a fistula between the bladder augment and the small bowel. RESULTS: The recurrent stones were managed using a percutaneous approach. The pediatric urology and pediatric surgery team elected to address the fistula utilizing a laparoscopic approach. There were two fistulas that were identified. They were divided and covered with an omental flap. Post-surgery, the patient's urine has remained clear, and she was able to return to her prior baseline weight. CONCLUSIONS: In summary, this video reports an unusual ileal-ileocystoplasty fistula resulting from prior open cystolithotomy. There is only one other report of ileal-ileocystoplasty fistula published in the literature, and its etiology was unclear. Our video demonstrates the feasibility of taking a minimally invasive approach in treating bladder augment stones and ileal-ileocystoplasty fistulae. Source of Funding: This study received no external funding support © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e270 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Arriana Rieland More articles by this author Michael Chen More articles by this author Roman Sydorak More articles by this author Gene Huang More articles by this author Expand All Advertisement PDF downloadLoading ...