[Urinary Diversion Using an Appendicovesicostomy for Idiopathic Urethral Stricture : A Case Report]

Area of Science:

• Urology
• Surgical Innovation

Background:

• Severe urethral stricture presents a significant challenge for urinary catheterization.
• Standard methods like nelaton catheterization and transurethral dilation may fail in complex cases.

Observation:

• A 55-year-old woman presented with dysuria due to a severe, idiopathic urethral stricture.
• Imaging revealed thickened periurethral tissue and stenosis along the entire urethra.
• Initial attempts at catheterization and dilation were unsuccessful.

Findings:

• Mitrofanoff appendicovesicostomy was performed as an alternative urinary diversion.
• The patient experienced successful and uncomplicated catheterization via the appendicostomy for three years.
• A bladder stone occurred during the follow-up period but did not impede appendicostomy function.

Implications:

• Mitrofanoff appendicovesicostomy is a viable and effective substitute for catheterization in patients with intractable urethral strictures.
• This technique offers a durable solution for managing difficult bladder outlet obstruction.
• Further research may explore long-term outcomes and complication rates of this procedure.