THE STUDY OF OUTCOME OF MITROFANOFF PROCEDURE IN URINARY TRACT RECONSTRUCTION

NAME ADDRESS EMAIL ID OF THE CORRESPONDING AUTHOR:
Dr. Immadi Chandrasekhar,
9-7-289, Sairamnagar Lane,
Besides O-Optex Showroom,
Gajuwaka, Visakhapatnam- 530026,
Andhra Pradesh.
E-mail: vanajasekhar@yahoo.com

ABSTRACT: BACKGROUND: In 1980, Dr. Paul Mitrofanoff described a procedure using the appendix to construct a continent catheterizable channel to the bladder. This concept has come to be known as Mitrofanoff procedure. Aim is to evaluate the outcome of Mitrofanoff procedure. SETTINGS AND DESIGN: This is a one centre prospective study done in King George Hospital, Andhra Medical College, Visakhapatnam from August 2005 to December 2014. PATIENTS AND MATERIAL: Mitrofanoff procedure is performed in 15 patients between August 2005 to December 2014. RESULTS: Subcutaneous wound infection occurred in 4 cases, stomal stenosis in 3 cases, and difficulty in catheterizing channel in 3 cases which were rectified. Occasional cystitis is seen in all the 15 cases. All the 15 patients are doing clean intermittent catheterization without any problems until last follow-up. CONCLUSIONS: Mitrofanoff’s procedure enjoys the single feature of affording a catheterizable continent diversion using appendix that can be performed utilizing techniques already in the urological armamentarium. Long term complications are less with this procedure.
KEYWORDS: Appendix, Clean intermittent catheterization, obstructed labour injury complex, road traffic accidents, stoma, suprapubic cystostomy, urethral strictures.
MESHTERMS: Adult, Appendix/surgery, Female, Humans, Male, and Postoperative care, Post-operative complications, Treatment outcome:
•    Urinary Bladder, Neurogenic/surgery.
•    Urinary Reservoirs, Continent/adverse effects.
•    Urinary Reservoirs, Continent/methods.
•    Urological Diseases/surgery.