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Combined Urological and Plastic Approach

Loredana Brizio-Molteni, MD; John M. Hodson, MD; Paul F. Kelly, MD; John C. Reynhout, MD; Thomas F. Kaiser, MD; Donald R. Becker, MD

JAMA. 1970;213(3):458-459.

Abstract
An 18-year-old Negro boy with "prune belly" or triad syndrome had a solitary hydronephrotic kidney with an adynamic, massively dilated ureter and bladder. A pyeloileal urinary conduit wa indicated. With the lack of abdominal musculature and wrinkling of the abdominal skin, the usual ileal conduit, flush with the skin, would not allow a constant watertight seal with the urinary collecting device. Surgical management consisted of a pyeloileal conduit with the creation of a spigot-like cutaneous ileostomy which effectively accommodated the collecting device.

Author Affiliations
From the departments of urology (Drs. Hodson and Kaiser) and surgery (Drs. Brizio-Molteni, Reynhout, and Becker), Deaconess Hospital; and the Division of Urology (Drs. Kelly, Hodson, and Kaiser) and the Department of Surgery (Dr. Becker), State University of New York, Buffalo.

Footnotes
Reprint requests to 1088 Delaware Ave, Buffalo 14209 (Dr. Brizio-Molteni).

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