The Appendix as a Continence Mechanism

Burger, Roger A.; Wammack, R.; Fisch, Margit; Sc, Müller; Hohenfellner, R

doi:10.1159/000474766

Cited by 28 publications

(8 citation statements)

References 8 publications

(9 reference statements)

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“…One of them died of chronic retention and renal failure and another had intermittent obstruc tion at the appendicoreservoir junction due to overdisten tion. The outcome in terms of case of catheterization and continence in the present series is comparable to that of other studies reported in the literature [3,8,11],…”

Section: Discussionsupporting

confidence: 89%

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Mitrofanoff Principle for Continent Urinary Diversion

Ramanan

Kapoor²,

Srinadh³

et al. 1997

Urol Int

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In 1980 Mitrofanoff described a method to achieve continent urinary diversion by surgically closing the bladder neck and creating a continent catheterizable stoma from the appendix which had been implanted in a nonrefluxing manner into the bladder or from a nonrefluxing distal ureter. The Mitrofanoff principle (MP) serves well as a continence mechanism for either the native bladder or intestinal reservoirs. We review 17 patients, including 10 children, who were treated with the MP and received a continent catheterizable channel. For the MP, appendix was used in 16 patients and ureter in 1. The continuity between the urinary reservoir and urethra was maintained wherever possible. Bladder neck suspension was preferred to bladder neck closure in incontinent females and boys. Complications and their management have been discussed at length. Stable renal functions, ease of catheterization and urinary continence were achieved in 93.8% of the patients.

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Section: Discussionsupporting

confidence: 89%

“…Though it has uniformly given good results, al though MP is not without complications. Conduit-related problems have been reported in a considerable number of patients (36%) and the stomal stenosis alone in 14-19% of cases [5,8,9,11], However, most of these complica tions are largely preventable and correctable [8,11].…”

Section: Discussionmentioning

confidence: 99%

Mitrofanoff Principle for Continent Urinary Diversion

Ramanan

Kapoor²,

Srinadh³

et al. 1997

Urol Int

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“…Other possible explanations are inci dental pathology of the appendix or ischemia. The inci dence of stomal stenosis in this series was 17%, which is comparable to the 10-30% frequency reported in the liter ature [5,6], Perforation of the appendiceal outlet is a potentially serious complication. In 2 patients it occurred shortly after the start of self-catheterization, which stresses the importance of the atraumatic technique and patient information.…”

Section: Discussionsupporting

confidence: 72%

Clinical Experience with the Detubularized Ileocecal Reservoir and Continent Appendicoumbilical Stoma in Urinary Diversion

Nurmi

Rajala²,

Laato³

1997

Eur Urol

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“…The episodes of enuresis occur approximately once every 2-3 weeks. Patients are currently performing CISC using 1 4 F catheters (range [12][13][14][15][16]. The median catheterization interval was 45-1 h during the day (range 3-5) and 7 f 1 h at nights (range 6-9).…”

Section: Continent U R I N a R Y Diversion Using The Mitrofanoff Prinmentioning

confidence: 99%