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Related Experiment Videos

The Mitrofanoff procedure: 20 years later.

A Liard1, E Séguier-Lipszyc, A Mathiot

  • 1Department of Pediatric Surgery, University Hospital Charles Nicolle, Rouen, France.

The Journal of Urology
|May 24, 2001
PubMed
Summary

Continent cystostomy offers lasting functional results for neuropathic bladders, with complications decreasing over time. While initial challenges existed, long-term follow-up shows sustained efficacy for this surgical approach.

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[Continent cystostomy: monocentric experience].

Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie·2012

Area of Science:

  • Urology
  • Pediatric Surgery
  • Reconstructive Urology

Background:

  • Neuropathic bladders in children often require surgical management to ensure adequate bladder capacity and safe upper urinary tract drainage.
  • Continent cystostomy, a surgical procedure to create a continent urinary diversion, has been utilized to manage these complex cases.

Purpose of the Study:

  • To evaluate the long-term functional outcomes and complication rates of continent cystostomy in pediatric patients with neuropathic bladders.
  • To assess the durability and safety of this procedure after a minimum of 15 years of follow-up.

Main Methods:

  • A retrospective review of 23 continent cystostomies performed between 1976 and 1984 in patients with neuropathic bladders.
  • Patients underwent bladder neck closure in most cases, with the appendix serving as the primary conduit. Bladder augmentation was performed in select cases.

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Main Results:

  • One death occurred post-conversion to cutaneous diversion. No metabolic disorders, secondary malignancies, or spontaneous bladder perforations were observed.
  • Upper tract deterioration occurred in 10 patients. Complications related to the catheterizable conduit, such as stenosis or leakage, were noted in 11 cases.
  • 16 patients achieved good and stable results, while 6 required conversion to noncontinent diversion.

Conclusions:

  • Continent cystostomy demonstrates lasting efficiency, with complication rates tending to decrease over time.
  • Early series may reflect a learning curve and evolving surgical concepts, such as the low-pressure reservoir principle.
  • No continent cystostomies performed since 1984 at the institution have been converted to noncontinent diversion, highlighting the procedure's long-term success.