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The Mitrofanoff Principle for Continent Urinary Diversion
Author(s) -
WOODHOUSE C. R. J.,
MALONE P. R.,
CUMMING J.,
REILLY TINA M.
Publication year - 1989
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 - 10.1111/j.1464-410x.1989.tb05123.x
Subject(s) - appendix , medicine , surgery , ureter , urinary diversion , urinary system , urinary bladder , urology , calculus (dental) , anatomy , dentistry , geology , cystectomy , bladder cancer , paleontology , cancer
Summary— A continent urinary diversion was formed for 16 patients using the Mitrofanoff principle for continence. As originally described, this system used the appendix tunnelled into the bladder to form a continent catheterisable vesicostomy. We have expanded the technique and have used all available narrow tubes as continent conduits (ureter 10 cases, appendix 5, Fallopian tube 1). The urine container was made of large and small intestine and bladder in several combinations. The system has been very satisfactory: 14 patients were continent and able to catheterise; 1 required a revision to achieve continence and 1 awaits revision; 3 patients required revision procedures for stricture.