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Mitrofanoff principle for continent urinary diversion
V Ramanan1, R Kapoor, E S Srinadh
1Department of Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
Urologia Internationalis
|January 1, 1997
Summary
The Mitrofanoff principle (MP) allows for continent urinary diversion using a catheterizable stoma. This method achieved stable renal function, easy catheterization, and continence in 93.8% of patients.
Area of Science:
- Urology
- Pediatric Urology
- Surgical Techniques
Background:
- The Mitrofanoff principle (MP) was described in 1980 for continent urinary diversion.
- It involves creating a catheterizable stoma, often from the appendix or ureter, to the bladder.
Purpose of the Study:
- To review the outcomes of patients treated with the Mitrofanoff principle.
- To evaluate the efficacy and complications of creating a continent catheterizable channel.
Main Methods:
- Review of 17 patients (10 children) who underwent the Mitrofanoff procedure.
- Appendix was used in 16 patients; ureter in 1 patient.
- Bladder neck suspension was preferred over closure for incontinence.
Main Results:
- 93.8% of patients achieved stable renal function, ease of catheterization, and urinary continence.
- Complications and their management were discussed.
- Continuity between the urinary reservoir and urethra was maintained when possible.
Conclusions:
- The Mitrofanoff principle is an effective method for achieving urinary continence.
- It provides a reliable catheterizable channel for native bladders or intestinal reservoirs.
- The technique demonstrates a high success rate with manageable complications.