Mitrofanoff procedure

Mitrofanoff procedure is a surgical procedure that creates a conduit, or channel, from the bladder to the surface of the abdomen. This conduit is used to drain urine from the bladder using a catheter. The procedure is named after the French surgeon who first described it, Paul Mitrofanoff.

Indications

The Mitrofanoff procedure is typically indicated for patients who are unable to urinate normally due to a variety of conditions, including spina bifida, spinal cord injury, bladder exstrophy, and other neurogenic bladder conditions. It may also be used in patients who have had their bladder removed (a procedure known as a cystectomy) due to bladder cancer.

Procedure

The Mitrofanoff procedure involves creating a conduit from the bladder to the surface of the abdomen. This is typically done using a piece of the patient's own intestine, although other tissues may also be used. The conduit is then connected to the bladder and brought out through the abdominal wall to create a stoma, or opening, on the surface of the abdomen. A catheter can then be inserted into the stoma to drain urine from the bladder.

Risks and Complications

As with any surgical procedure, the Mitrofanoff procedure carries some risks. These may include infection, bleeding, and complications related to anesthesia. There is also a risk that the conduit may become blocked or that the stoma may become narrow or close up. In some cases, additional surgery may be needed to correct these problems.

Aftercare

After the Mitrofanoff procedure, patients will need to use a catheter to drain urine from their bladder. This is typically done several times a day. Patients will also need to monitor their stoma for signs of infection or other complications.

See Also

• Cystectomy
• Neurogenic bladder
• Spina bifida
• Spinal cord injury
• Bladder exstrophy

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