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The Mitrofanoff catheterizable channel: patient acceptance
M Horowitz1, C S Kuhr, M E Mitchell
1Children's Hospital and Medical Center, Seattle.
The Journal of Urology
|March 1, 1995
Summary
The Mitrofanoff principle creates continent catheterizable channels with high patient acceptance. Most patients successfully use the channel for bladder emptying or monitoring residual volumes.
Area of Science:
- Urology
- Pediatric Surgery
- Reconstructive Surgery
Background:
- Continent catheterizable channels are essential for managing bladder dysfunction.
- The Mitrofanoff principle offers a method for creating such channels.
Purpose of the Study:
- To review experience with the Mitrofanoff catheterizable channel.
- To evaluate patient acceptance and preference for this surgical technique.
Main Methods:
- Review of 35 patients (ages 2-21) who underwent creation of continent catheterizable channels.
- Utilized appendix, ureter, fallopian tube, or stomach tube for channel construction.
- Mean follow-up of 22 months.
Main Results:
- All 33 patients with available data used the channel successfully for at least 3 months.
- 48% emptied their bladder solely via Mitrofanoff catheterization.
- 33% preferred Mitrofanoff over urethral catheterization when both were options.
- 15% used the channel to monitor post-void residual volumes.
Conclusions:
- The Mitrofanoff catheterizable channel demonstrates a high acceptance rate among patients.
- This technique provides a reliable method for achieving bladder continence and management.