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Year : 2019  |  Volume : 35  |  Issue : 1  |  Page : 83-84

Casale's tube with VQZ stoma: An alternative to “double Monti”

1 Department of Urology Medanta, The Medicity, Gurugram, Haryana, India
2 Department of Urology and Kidney Transplant, PGIMER, Dr RML Hospital, New Delhi, India

Correspondence Address:
Nikhil Khattar
Department of Urology Medanta, The Medicity, Gurugram, Haryana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/iju.IJU_194_18

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In situations requiring an ileal segment for performing a Mitrofanoff cathetrisable urinary diversion, occasionally a “Double Monti” is needed to achieve a length for the cathetrisable channel to conveniently reach the abdomen of an adult. Casale's tube is an alternative where it can provide a jointless tube with adequate length. The video demonstrates the procedure in an adult with a neurogenic acontractile bladder who had developed a panurethral stricture because of years of self catheterization. “VQZ” technique of stoma formation is helpful in prevention of stenosis.

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