Mitrofanoff procedureWritten by Ivo Mitsiev at in "General Science" and also in "Transplant Surgery".
Yesterday I had a patient who had a Mitrofanoff procedure in the past and I decided to take a look at the literature about this interesting approach.
The original article was published 1980 describing "trans-appendicular continent cystostomy" as an alternative approach for intermittent catheterization for management of urinary incontinence. Since then many variations have been reported, including appendix, ureter, stomach tube, tapered ileum and tubularized bladder flap, as well as using fallopian tube, vas deferens, and even labial mucosa. A simultaneous appendicovesicostomy and appendicocecostomy was recently reported using a split-appendix technique.
Many reports about laparoscopic and robotic-assisted techniques were published. Repair of stomal stenosis using buccal graft was described. Conceiving and vaginal delivery of women with Mitrofanoff cystostomy was also reported.