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The Mitrofanoff principle for continent urinary diversion
1Royal Marsden Hospital, Institute of Urology, St. Peter's Hospital, London, UK.
World Journal of Urology
|January 1, 1996
Summary
The Mitrofanoff procedure creates a continent channel for self-catheterization, achieving high continence rates. While complications like stenosis can occur, it remains a reliable and easy-to-learn method for urinary diversion.
Area of Science:
- Urology
- Surgical Innovation
Background:
- The Mitrofanoff principle involves creating a continent supra-pubic conduit for self-catheterization.
- This surgical technique utilizes a narrow tube, commonly the appendix, or alternatives like the ureter, Fallopian tube, or intestinal segments.
Purpose of the Study:
- To evaluate the efficacy and reliability of the Mitrofanoff procedure for achieving urinary continence.
- To identify common complications and compare outcomes across different patient diagnoses and surgical variations.
Main Methods:
- The Mitrofanoff procedure involves creating a 5 cm tunnel for a narrow tube within the conduit wall.
- Data analysis considered patient diagnosis, source of the narrow tube, and reservoir type.
Main Results:
- Approximately 90% of patients achieve urinary continence following the Mitrofanoff procedure.
- Conduit complications, primarily stenosis at the skin level, affect up to 30% of patients.
Conclusions:
- The Mitrofanoff procedure is a highly effective method for creating a continent urinary diversion.
- It is recognized as one of the easiest and most reliable systems for self-catheterization, despite potential complications.