The antegrade continence enema (ACE), administered through a continent cutaneous appendicocecostomy, has been used to successfully achieve reliable evacuation and fecal continence in @entity1 with @entity9960 . However, as originally described, it is not suitable in @entity1 without an appendix or those requiring urologic reconstruction with appendix. We report the use of a standard @entity7250 in the cecum to create a continent cecostomy in five @entity1 with @entity1241 . Four underwent simultaneous urologic reconstruction, including two artificial urinary sphincter (AUS) implantations. At a mean of 28 months' follow-up, all five @entity1 are continent of stool. One ACE button has been converted to an ileal Malone cecostomy at the @entity1 's request. Complications included one @entity2688 requiring exploration and three @entity2737 , one at a cecostomy site, responsive to antibiotics and local care. There were no AUS infections. The button cecostomy is an effective alternative to standard ACE procedures. It is particularly useful in those who require creation of an appendicovesicostomy for attainment of urinary continence.

The button cecostomy for management of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity2688 :: ('MESH:D002481', 'Disease') :: ['appendiceal phlegmon'] @entity7250 :: ('MESH:D016463', 'Disease') :: ['gastrostomy button'] @entity9960 :: ('MESH:D008591', 'Disease') :: ['myelomeningocele'] @entity2737 :: ('MESH:D014946', 'Disease') :: ['superficial wound infections'] @entity1241 :: ('MESH:D005242', 'Disease') :: ['fecal incontinence']
@entity1241 :: (MESH:D005242,Disease) :: ['fecal incontinence']
