WCE 2016: MIC-KEY Vesicostomy Button: Endoscopic Insertion is Superior

Cape Town, South Africa (UroToday.com)- Dr. Kelly Nast, pediatric urology fellow at University of California, San Diego, presented a retrospective chart review evaluating the use of vesicostomy buttons for pediatric patients whose management requires continuous intermittent catheterization (CIC). 
Notable results include a 71% (5 out of 7 patients) rate of leakage around the button insertion site if the device was placed into an existing vesicostomy. In addition, placement of the button did not reduce the incidence of UTI in patients with previous history of infection. Importantly, endoscopic placement was superior with the lowest rate of leakage events when compared to open technique. She adds however, that accurate estimation of the abdominal wall thickness during placement is critical. 

In contrast, button placement can be associated with skin reactions and issues with parents. Nast notes that the appearance and apparent permanence of the button can be disturbing to parents and often requires counseling and reassurance. 

Presented by:
Kelly Nast, Sarah Marietti, and George Chiang

Written by:
Daniel Lama, medical student, Department of Urology, School of Medicine, University of California-Irvine

34th World Congress of Endourology and SAUA meeting
 - November 7-12, 2016 – Cape Town, South Africa