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Transversely tubularized ileal segments for the Mitrofanoff
Author(s) -
Sugarman,
Malone,
Terry,
Koyle
Publication year - 1998
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1046/j.1464-410x.1998.00540.x
Subject(s) - electrical conduit , medicine , appendix , surgery , enema , ileum , bladder augmentation , stoma (medicine) , stenosis , radiology , urinary bladder , mechanical engineering , paleontology , engineering , biology
Objective To assess the use of a transverse tubularized segment(s) of ileum in the Mitrofanoff or Malone antegrade colonic enema (MACE) procedures. Patients and methods Eleven patients in three centres underwent the formation of a continent conduit to bowel (MACE, eight patients) and/or bladder (Mitrofanoff, four) using either a single segment of transverse tubularized ileum (10 patients) or two segments of ileum anastomosed and tubularized into a single conduit (two). Results Within a follow‐up of 8 weeks to 6 months, all conduits were continent and catheterized easily. One stomal stenosis required a revision procedure. Conclusion This method for forming a continent catheterizing conduit, based on the Mitrofanoff principle, appears to be effective and is recommended in cases where the appendix cannot be used or where a second conduit is required.