Ziaul Miraj.
The Mitrofanoff procedure for uninary incontinence in children.
Pak Paed J Jan ;21(2):59-64.

A continent urinary diversion using the Mitrofanoff principle was constructed in 16 children who were incontinent because of severe bladder/urethra) dysfunction secondary to spins bifida (12 patients), exstophy/epispadias complex (3 patients) and limbo-sacral agencies (one patient). The procedure was combined with bladder augmentation in all patients except for one in whom an autocystoplasty was carried out. The continent conduit was constructed by using the vermiform appendix in 12 patients and the distal ureter in 4 patients. Follow-up period ranged between six months to three years. The capacity of neobladder was good in all patients. All patients were able to catheterise the stoma themselves successfully. Full continence was achieved in 14 patients while the remaining 2 patients had some degree of urinary leakage per urethra. The renal functions remained stable in all patients. We believe that the Mitrofanoff procedure combined with bladder augmentation is the procedure of choice 10 treat refractory urinary incontinence in selected children with bladder/urethral failure.

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