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Related Experiment Videos

The Mitrofanoff principle in urinary reconstruction

J M Sumfest1, M W Burns, M E Mitchell

  • 1Department of Pediatric Urology, Children's Hospital and Medical Center, Seattle, Washington.

The Journal of Urology
|December 1, 1993
PubMed
Summary

The Mitrofanoff principle, using a catheterizable channel, effectively achieved urinary continence in 96% of 47 patients. Appendico-vesicostomy proved a reliable method for managing bladder emptying and incontinence.

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Area of Science:

  • Urology
  • Surgical Techniques
  • Continence Management

Background:

  • Urinary incontinence and inadequate bladder emptying pose significant challenges.
  • The Mitrofanoff principle offers a surgical solution for creating a catheterizable channel.

Purpose of the Study:

  • To evaluate the efficacy and safety of the Mitrofanoff principle for achieving urinary continence.
  • To assess appendico-vesicostomy as a specific application of this principle.

Main Methods:

  • The Mitrofanoff principle was applied in 47 patients.
  • Appendico-vesicostomy was performed in 25 patients (55%).
  • Clean intermittent catheterization was used for bladder emptying in all cases.

Main Results:

Related Experiment Videos

  • Satisfactory urinary continence was achieved in 45 patients (96%).
  • Early complications included peristomal abscess and small bowel obstruction.
  • Late complications involved catheterization difficulty, stomal stenosis, and persistent incontinence.

Conclusions:

  • The Mitrofanoff principle is highly effective for achieving urinary continence.
  • The appendix is a suitable choice for the catheterizable segment.
  • Management of complications is crucial for successful outcomes.