The continent, catheterizable abdominal conduit in adult urological practice

BJU International
Basavaraj D R GowdaSimon C W Harrison

Abstract

To report a large, single-centre experience with a continent, catheterizable abdominal conduit in adult patients. We retrospectively reviewed the case notes of all 65 patients who had surgery to create a continent catheterizable conduit based on the Mitrofanoff principle. Operations were carried out over a 13-year period. Data on surgical procedure, complications and final outcome were collected and analysed. The mean age of the patients was 38.4 years and mean follow-up interval was 75.2 months. Patients with neuropathic lower urinary tracts accounted for the largest single indication for reconstruction (36 patients). The appendix was the conduit of choice and was available and suitable for use in 37 patients. There were 57 patients who continued to use their native bladder or had undergone an augmentation or substitution cystoplasty; 24.5% of these 57 individuals had also undergone closure of the bladder neck or urethra. There were postoperative complications requiring laparotomy in five (8%) patients. In all, 30 patients (46%) had catheterization problems, but most of these were easy to treat. Five patients (8%) had an incontinent conduit which was a more difficult problem to deal with. Two patients have died of unrelated ca...Continue Reading

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Citations

Jun 5, 2012·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·L RouacheP Grise
Mar 2, 2010·Journal of Pediatric Urology·Marie-Klaire Farrugia, Padraig S Malone
Jun 16, 2009·BJU International·James G HuangLih-Ming Wong
Jun 8, 2015·Current Opinion in Urology·Hubertus Riedmiller, Arkadius Kocot
Jul 11, 2020·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Julián ChavarriagaJaime Perez
Mar 2, 2019·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·D PoncetG Fiard
Sep 15, 2021·Current Opinion in Urology·Elodie BeelsFrank Van der Aa

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