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Related Experiment Videos

Use of the appendix in urologic reconstructive operation

B N Benge1, B H Winslow

  • 1Department of Urology, Eastern Virginia Medical School, Norfolk.

Surgery, Gynecology & Obstetrics
|December 1, 1993
PubMed
Summary

The appendix can be used as a catheterizable stoma (appendicovesicostomy) for bladder emptying in patients needing chronic catheterization. This approach offers advantages and suggests reconsidering routine incidental appendectomy in select cases.

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Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • Chronic catheterization for bladder emptying presents challenges.
  • The appendix's potential as a catheterizable channel is often overlooked.
  • Incidental appendectomy discussions frequently disregard this reconstructive option.

Purpose of the Study:

  • To highlight the utility of appendicovesicostomy using the Mitrofanoff principle.
  • To advocate for the appendix's use as a continent urinary stoma.
  • To argue against routine incidental appendectomy in specific patient populations.

Main Methods:

  • Review of patient cases utilizing appendicovesicostomy.
  • Application of the Mitrofanoff principle for stoma creation.
  • Analysis of surgical outcomes and patient benefits.

Main Results:

  • Appendicovesicostomy provides a viable option for chronic bladder management.
  • The procedure demonstrates significant advantages in patient care.
  • Experience supports the appendix's role as a functional catheterizable stoma.

Conclusions:

  • Appendicovesicostomy is a valuable technique in genitourinary reconstructive surgery.
  • The appendix should be preserved in select patients for potential stoma creation.
  • Routine incidental appendectomy may not be appropriate for all patients.

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