A novel colonoscopic approach for the management of a malone antegrade continence enema channel, which cannot be catheterized in the immediate postoperative period

A case report

Konrad Szymanski, Alison Keenan, Mark P. Cain, Shamaila Waseem, Martin Kaefer

Research output: Contribution to journalArticle

Abstract

Early Malone antegrade continence enema (MACE) complications are rare, but can be devastating, particularly if they involve loss of the channel. Management of these complications is not well described. We report on a patient who had her MACE channel successfully salvaged in the immediate postoperative period using a colonoscopic retrograde wire and catheter placement after failing antegrade percutaneous endoscopic management. To our knowledge, this is the first report of a novel, colonoscopic, minimally invasive technique of managing select MACE channels, which cannot be otherwise recatheterized. We also review the management of postoperative MACE complications.

Original languageEnglish
Pages (from-to)1490-1491
Number of pages2
JournalUrology
Volume84
Issue number6
DOIs
StatePublished - Dec 1 2014

Fingerprint

Enema
Postoperative Period
Catheters

ASJC Scopus subject areas

  • Urology
  • Medicine(all)

Cite this

A novel colonoscopic approach for the management of a malone antegrade continence enema channel, which cannot be catheterized in the immediate postoperative period : A case report. / Szymanski, Konrad; Keenan, Alison; Cain, Mark P.; Waseem, Shamaila; Kaefer, Martin.

In: Urology, Vol. 84, No. 6, 01.12.2014, p. 1490-1491.

Research output: Contribution to journalArticle

@article{afc51428f9144f4eae064daa0dd3e016,
title = "A novel colonoscopic approach for the management of a malone antegrade continence enema channel, which cannot be catheterized in the immediate postoperative period: A case report",
abstract = "Early Malone antegrade continence enema (MACE) complications are rare, but can be devastating, particularly if they involve loss of the channel. Management of these complications is not well described. We report on a patient who had her MACE channel successfully salvaged in the immediate postoperative period using a colonoscopic retrograde wire and catheter placement after failing antegrade percutaneous endoscopic management. To our knowledge, this is the first report of a novel, colonoscopic, minimally invasive technique of managing select MACE channels, which cannot be otherwise recatheterized. We also review the management of postoperative MACE complications.",
author = "Konrad Szymanski and Alison Keenan and Cain, {Mark P.} and Shamaila Waseem and Martin Kaefer",
year = "2014",
month = "12",
day = "1",
doi = "10.1016/j.urology.2014.07.047",
language = "English",
volume = "84",
pages = "1490--1491",
journal = "Urology",
issn = "0090-4295",
publisher = "Elsevier Inc.",
number = "6",

}

TY - JOUR

T1 - A novel colonoscopic approach for the management of a malone antegrade continence enema channel, which cannot be catheterized in the immediate postoperative period

T2 - A case report

AU - Szymanski, Konrad

AU - Keenan, Alison

AU - Cain, Mark P.

AU - Waseem, Shamaila

AU - Kaefer, Martin

PY - 2014/12/1

Y1 - 2014/12/1

N2 - Early Malone antegrade continence enema (MACE) complications are rare, but can be devastating, particularly if they involve loss of the channel. Management of these complications is not well described. We report on a patient who had her MACE channel successfully salvaged in the immediate postoperative period using a colonoscopic retrograde wire and catheter placement after failing antegrade percutaneous endoscopic management. To our knowledge, this is the first report of a novel, colonoscopic, minimally invasive technique of managing select MACE channels, which cannot be otherwise recatheterized. We also review the management of postoperative MACE complications.

AB - Early Malone antegrade continence enema (MACE) complications are rare, but can be devastating, particularly if they involve loss of the channel. Management of these complications is not well described. We report on a patient who had her MACE channel successfully salvaged in the immediate postoperative period using a colonoscopic retrograde wire and catheter placement after failing antegrade percutaneous endoscopic management. To our knowledge, this is the first report of a novel, colonoscopic, minimally invasive technique of managing select MACE channels, which cannot be otherwise recatheterized. We also review the management of postoperative MACE complications.

UR - http://www.scopus.com/inward/record.url?scp=84922401059&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84922401059&partnerID=8YFLogxK

U2 - 10.1016/j.urology.2014.07.047

DO - 10.1016/j.urology.2014.07.047

M3 - Article

VL - 84

SP - 1490

EP - 1491

JO - Urology

JF - Urology

SN - 0090-4295

IS - 6

ER -