The Mitrofanoff procedure, also called Mitrofanoff appendicovesicostomy, is a surgical procedure in which the appendix is used to create a conduit between the surface of the skin, typically at the navel, and the urinary bladder, with a tissue flap valve at the bladder end preventing leakage. It benefits people for whom urethral catheterization is painful or difficult, including those with neurogenic bladder dysfunction, urethral trauma, spinal cord injuries or severe autonomic dysreflexia, and it has proved particularly useful for female patients and wheelchair users seeking greater independence in bladder management. After Jack Lapides introduced clean intermittent catheterization through the urethra in 1972, Professor Paul Mitrofanoff described a trans-appendicular continent cystostomy in 1980, and the procedure gained wider adoption after pediatric resident Marc Cendron translated Mitrofanoff's original French paper for the urologist John Duckett Jr.
Facts
FAQs
What is used to build the channel if a person has no usable appendix?
A piece of small intestine takes the place of the appendix.
Cleveland Clinic states that when someone needs a Mitrofanoff and does not have an appendix, the surgeon uses part of the small intestine to create the tunnel between the bladder and the abdominal wall. Healthcare providers call this tunnel a Monti or Monti-Yang channel.
Sources
1. Wikipedia
Wikipedia contributors, Wikimedia Foundation
2. Mitrofanoff procedure (Wikipedia)
- Originally developed by Paul Mitrofanoff in 1980, article intro
https://en.wikipedia.org/wiki/Mitrofanoff_procedure, lead section
The Mitrofanoff procedure, also known as the Mitrofanoff appendicovesicostomy, is a surgical procedure in which the appendix is used to create a conduit, or channel, between the skin surface and the urinary bladder.
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