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Indian J Urol. 2019 Jan-Mar;35(1):83-84. doi: 10.4103/iju.IJU_194_18.

Casale's tube with VQZ stoma: An alternative to "double Monti".

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


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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