Title

Hyaluronidase to reduce a prolapsed incontinent ischemic ileovesicostomy

Document Type

Journal Article

Publication Date

10-1-2018

Journal

Journal of Pediatric Urology

Volume

14

Issue

5

DOI

10.1016/j.jpurol.2018.04.017

Keywords

Hyaluronidase; Stomal prolapse; Tissue edema

Abstract

© 2018 Journal of Pediatric Urology Company Stomal prolapse is a known late complication of urinary diversions commonly used in urology. While rare, it can lead to ischemia, necrosis, and obstruction of the stoma, requiring urgent reduction before formal revision can be undertaken. Several measures can be attempted to reduce the prolapse including manual pressure and topical osmotic agents. One method that has not been reported in the urologic literature is the use of hyaluronidase. Herein, we report the first case in the literature of hyaluronidase usage to assist in reduction of an ischemic and obstructed prolapsed incontinent ileovesicostomy after manual compression failed.

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