The Mitrofanoff principle in urinary reconstruction. J Urol 1993 Dec;150(6):1875-7; discussion 1877-8
Date
12/01/1993Pubmed ID
8230523DOI
10.1016/s0022-5347(17)35921-9Scopus ID
2-s2.0-0027728304 (requires institutional sign-in at Scopus site) 96 CitationsAbstract
We report the use of the Mitrofanoff principle to achieve urinary continence in 47 patients. A catheterizable channel can be used as the primary continence mechanism, or as an adjunct to ensure complete bladder emptying if urethral catheterization or voiding is inadequate. Appendico-vesicostomy was performed in 25 of 47 patients (55%). Satisfactory continence was achieved in 45 patients (96%). Bladder emptying by clean intermittent catheterization was performed in all patients. Early complications included peristomal abscess (1 patient) and small bowel obstruction (1). Late complications included difficulty with catheterization (5 patients), stomal stenosis (9) and persistent incontinence (2). Our results support use of the appendix as the catheterizable segment of choice. We describe the technique and discuss the management of complications.
Author List
Sumfest JM, Burns MW, Mitchell MEAuthor
Michael Ernst Mitchell MD Emeritus Professor in the Urology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AppendixBladder Exstrophy
Child
Cloaca
Cystostomy
Female
Follow-Up Studies
Humans
Male
Neural Tube Defects
Postoperative Complications
Self Care
Time Factors
Urinary Catheterization
Urinary Reservoirs, Continent
