| REVIEW ARTICLE |
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| Year : 2002 | Volume
: 19
| Issue : 1 | Page : 4-8 |
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Mitrofanoff procedure: A versatile method of continent catheterisable urinary diversion
Tejanshu P Shah, Kiritpal Vishana, Prakash Ranka, Himanshu Shah, Rajesh Choudhary
Department of Urology & Kidney Transplantation, Institute of Kidney Diseases and Transplantation Sciences, B.J. Medical College & Civil Hospital Campus, Asarwa, Ahmedabad, India
Correspondence Address:
Tejanshu P Shah
65- B, Swastik Society, Navrangpura, Ahmedabad
India
 Source of Support: None, Conflict of Interest: None  | Check |
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Objective: Our aim is reappraisal of Mitrofanoff principle in a wide array of diverse clinical situations like pelvic tumors, myelodysplasia, irreparably damaged urethra and sphincters and with total bladder substitution.
Materials and Methods: 24 patients underwent the construction of a continent catheterisable stoma based on the Mitrofanoff principle between February 1990 to December 2000 for various etiologies. Youngest patient was 4 years old and the oldest patient was 54 years of age. The conduit was constructed using appendix in all patients.
Results: Stomal continence was achieved in all 24 patients (100%). Difficulty in catheterisation was most frequent late complication encountered in 4 patients (16.6%). 3 patients (12.45%) developed stones in reservoir
Conclusions: Mitrofanoff procedure is a versatile technique. The extension of this principle can provide continence mechanism to variety of patients, with or without total or partial substitution of bladder, in whom there is no usable urethra or sphincter or both. |
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