Mitrofanoff procedure

The Mitrofanoff procedure (pronunciation: /miːtroʊfænɒf/), also known as the Mitrofanoff appendicovesicostomy, is a surgical procedure used to create a conduit, or channel, between the bladder and the skin surface. This conduit is typically used for clean intermittent catheterization (CIC), allowing for the drainage of urine when normal voiding is not possible or practical.

Etymology

The procedure is named after Paul Mitrofanoff, a French surgeon who first described the technique in 1980. The term "appendicovesicostomy" comes from the combination of "appendix" and "vesicostomy", referring to the use of the appendix to create a connection to the bladder.

Procedure

The Mitrofanoff procedure involves the use of the appendix or a segment of bowel to create a conduit between the bladder and the skin surface. The conduit is typically placed in the right lower quadrant of the abdomen, although the exact location can vary depending on the patient's anatomy and surgeon's preference. The conduit is designed to be continent, meaning that urine does not leak out between catheterizations.

Indications

The Mitrofanoff procedure is typically indicated for patients who are unable to perform clean intermittent catheterization through the urethra. This may be due to a variety of reasons, including urethral damage, stricture, or previous surgery. It may also be used in patients with neurogenic bladder or other conditions that affect bladder function.

Complications

As with any surgical procedure, the Mitrofanoff procedure carries potential risks and complications. These may include infection, bleeding, conduit stenosis or closure, bladder stones, and the need for additional surgery.

Related Terms

External links

Medical encyclopedia article on Mitrofanoff procedure
Wikipedia's article - Mitrofanoff procedure

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Mitrofanoff procedure