Cutaneous Vesicostomy: Patient Selection, Techniques, Outcomes, and Management

Purpose of Review This review will examine the current literature regarding cutaneous vesicostomy use in the pediatric population. We will discuss the various indications for vesicostomy, currently used surgical techniques, and clinical outcomes pertinent to each population. Recent Findings The literature on pediatric vesicostomy is sparse and largely limited to retrospective series. The procedure plays a role in a variety of diagnoses, further making the vesicostomy population heterogeneous and the data difficult to interpret. However, vesicostomy has undeniably been shown to provide rapid and reliable bladder drainage leading to improvements in renal function, upper urinary tract dilation, and vesicoureteral reflux in most patients. Although initially thought of as a temporary option for young patients, more recent studies highlight the potential for vesicostomy as a long-term option, even in select older patients. Summary Overall, vesicostomy has proven over the years to be a reliable and safe form of urinary diversion. As we learn more about which populations benefit from vesicostomy, we may see its use expand from a temporizing measure to a permanent form of diversion.