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Authors Szymanski KM, Keenan A, Cain MP, Waseem S, Kaefer M
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Journal Urology Volume: 84 Issue: 6 Pages: 1490-1
Publish Date 2014 Dec
PubMed ID 25306482
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.


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