CONTINENT URINARY DIVERSION USING THE MITROFANOFF PRINCIPLE

摘要: OBJECTIVE To review the clinical and symptomatic outcome of patients undergoing cystectomy continent urinary diversion using Mitrofanoff principle. PATIENTS AND METHODS There were seven men five women (median age 62 +/- 21 years: range 21-79). The underlying diagnoses were: bladder carcinoma (8), neuropathic disease (1), exstrophy tuberculosis (1) interstitial cystitis (1). An ileo-caecal segment was used for construction reservoir. appendix as a catheterizable conduit in 11 narrowed ileal tube one patient. Symptomatic assessed by modified Visick grading. median follow-up period 15 10 months (range 6-39). RESULTS hospital stay 22 days. no post-operative deaths, but major complications developed three included intra-abdominal lymphocele abscess formation prolonged ileus In late (> 30 days), four stenosis mucocutaneous junction required dilatation. overall satisfactory patients. deaths peri-operative none has since revision. Urinary continence achieved all 12 during day. One patient reported minimal, occasional leakage at nights. catheterization interval 4 1 hours day 3-5) 7 night 6-9). CONCLUSION Our experience with procedure been limited to small number Despite this, satisfactory. potentially offers an effective mechanism acceptable morbidity.