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
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.
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:
- 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.