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REVIEW ARTICLE
Year : 2002  |  Volume : 19  |  Issue : 1  |  Page : 4-8

Mitrofanoff procedure: A versatile method of continent catheterisable urinary diversion


Department of Urology & Kidney Transplantation, Institute of Kidney Diseases and Transplantation Sciences, B.J. Medical College & Civil Hospital Campus, Asarwa, Ahmedabad, India

Correspondence Address:
Tejanshu P Shah
65- B, Swastik Society, Navrangpura, Ahmedabad
India
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Source of Support: None, Conflict of Interest: None


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Objective: Our aim is reappraisal of Mitrofanoff prin­ciple in a wide array of diverse clinical situations like pelvic tumors, myelodysplasia, irreparably damaged ure­thra and sphincters and with total bladder substitution. Materials and Methods: 24 patients underwent the con­struction of a continent catheterisable stoma based on the Mitrofanoff principle between February 1990 to Decem­ber 2000 for various etiologies. Youngest patient was 4 years old and the oldest patient was 54 years of age. The conduit was constructed using appendix in all patients. Results: Stomal continence was achieved in all 24 pa­tients (100%). Difficulty in catheterisation was most fre­quent late complication encountered in 4 patients (16.6%). 3 patients (12.45%) developed stones in reservoir Conclusions: Mitrofanoff procedure is a versatile tech­nique. The extension of this principle can provide conti­nence mechanism to variety of patients, with or without total or partial substitution of bladder, in whom there is no usable urethra or sphincter or both.


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