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Related Experiment Videos

Appendicovesicostomy: the mitrofanoff procedure-a 15-year perspective.

C F Harris1, C S Cooper, J C Hutcheson

  • 1Division of Pediatric Urology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

The Journal of Urology
|May 8, 2000
PubMed
Summary

Appendicovesicostomy is a durable and successful method for urinary continence in children, with 98% achieving continence. Careful surgical technique is key to its long-term effectiveness.

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Area of Science:

  • Pediatric Urology
  • Surgical Techniques
  • Continence Management

Background:

  • Appendicovesicostomy, introduced in 1982, is a popular method for creating a continent urinary diversion.
  • This review examines the long-term outcomes of appendicovesicostomy performed by a single surgeon.

Purpose of the Study:

  • To evaluate the long-term success and durability of appendicovesicostomy in a pediatric population.
  • To assess complication rates and the need for revision surgery.

Main Methods:

  • Retrospective review of 50 consecutive appendicovesicostomy cases performed between 1982 and 1998.
  • Analysis of operative reports and clinical records, with a mean follow-up of 4.3 years.

Main Results:

Related Experiment Videos

  • 96% of patients successfully self-catheterize the appendicovesicostomy.
  • High continence rate of 98% was achieved.
  • Complications included stomal stenosis (10%) and required revision in 16% of cases.

    • Conclusions:

    • Appendicovesicostomy demonstrates successful long-term outcomes and durability in children.
    • Meticulous surgical technique is crucial for achieving high long-term success rates.