Journal article
APPENDICOVESICOSTOMY: THE MITROFANOFF PROCEDURE—A 15-YEAR PERSPECTIVE
The Journal of urology, Vol.163(6), pp.1922-1926
06/2000
DOI: 10.1016/S0022-5347(05)67599-4
PMID: 10799230
Abstract
Purpose: Appendicovesicostomy was introduced in the United States in 1982 at our hospital. It has become the most popular alternate continence channel for catheterization. We reviewed the experience of 1 surgeon with appendicovesicostomy during a 15-year period. Materials and Methods: We retrospectively reviewed the operative reports and clinical records of 50 consecutive patients in whom appendicovesicostomy was performed by 1 surgeon between 1982 and 1998. The underlying diagnosis was myelomeningocele in 31 cases, bladder exstrophy in 6, the prune-belly syndrome in 2, posterior urethral valves in 2 and other disorders in 10. Mean patient age at surgery was 13.1 years (range 4 months to 25 years) and mean followup was 4.3 years (range 3 months to 16.3 years). Results: Of the 50 patients 96% continue to catheterize the appendicovesicostomy. Stomal stenosis developed in 5 cases (10%) and other complications included stricture and appendiceal perforation in 2 each. Eight patients (16%) required appendicovesicostomy revision at a median of 7.3 months (range 1 month to 5.8 years) after the initial procedure. Median time to revision for stomal stenosis was 13 months (range 1 month to 5.8 years). Appendicovesicostomy continence was achieved in 49 patients (98%). Conclusions: Our series demonstrates the successful long-term outcome and durability of appendicovesicostomy in children. Careful adherence to technique at initial surgery helps ensure a high long-term success rate.
Details
- Title: Subtitle
- APPENDICOVESICOSTOMY: THE MITROFANOFF PROCEDURE—A 15-YEAR PERSPECTIVE
- Creators
- CONSTANTINE F. Harris - Children's Hospital of PhiladelphiaCHRISTOPHER S. Cooper - Children's Hospital of PhiladelphiaJOEL C. Hutcheson - Children's Hospital of PhiladelphiaHOWARD M. Snyder - Children's Hospital of Philadelphia
- Resource Type
- Journal article
- Publication Details
- The Journal of urology, Vol.163(6), pp.1922-1926
- DOI
- 10.1016/S0022-5347(05)67599-4
- PMID
- 10799230
- ISSN
- 0022-5347
- eISSN
- 1527-3792
- Language
- English
- Date published
- 06/2000
- Academic Unit
- Stead Family Department of Pediatrics; Urology; Medicine Administration
- Record Identifier
- 9984319975502771
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