Results of the Mitrofanoff procedure in urinary tract reconstruction in children.

摘要: Objectives To evaluate the success and long-term complications associated with use of continent catheterizable conduits based on Mitrofanoff principle in children. Patients methods The records 43 patients (21 female 22 male) who underwent construction a stoma between 1987 1996 were reviewed retrospectively. mean age at surgery was 10 years (range 3-21) follow-up 3 0.5-6.5). Twenty-eight children augmentation cystoplasty conjunction procedure, using ileum 17, sigmoid seven, caecum two stomach one ; detrusormyectomy performed child. Fifteen had only formed. most common type conduit appendicovesicostomy (36 children) other constructed ureter (four), tapered (two) fallopian tube (one). Results Stomal continence achieved 42 (98%). late complication difficulty catheterization, which occurred 14 (32%). prolapse requiring revision patient (2%). Conduit dilatation initially attempted all difficult although it failed 11 then required surgical revision. Therefore, overall rate 28% (12 43). site stomal placement (umbilical or abdominal) did not significantly influence risk catheterization. Conclusion procedure can simplify catheterization are dependent upon intermittent vermiform appendix appears to be best source for constructing conduit. While is excellent, stenosis remains frequent regardless location.