Modification of mitrofanoff principle for continent urinary diversion

David W. Keetch, Joseph W. Basler, Louis R. Kavoussi, William J. Catalona

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

In 1980, Mitrofanoff described a method of achieving continent urinary diversion by surgically closing the bladder neck and creating a continent catheterizable stoma from the appendix, which had been implanted in a non-refluxing manner into the bladder, or from a non-refluxing distal ureter. We describe a modification of the Mitrofanoff procedure for continent urinary diversion in 7 children in whom a standard Mitrofanoff procedure was not possible due to either body habitus or appendiceal anatomy. All 7 patients are continent both day and night. Four have required stomal revisions. Renal function has remained stable or improved in all patients. Although the revision rate was high, this modification of the Mitrofanoff principle has provided good long-term results in these patients and may be useful when patient's anatomy does not allow the creation of a standard appendicovesicostomy.

Original languageEnglish (US)
Pages (from-to)507-510
Number of pages4
JournalUrology
Volume41
Issue number6
DOIs
StatePublished - Jun 1993
Externally publishedYes

ASJC Scopus subject areas

  • Urology

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