Safety and feasibility of laparoscopic appendicovesicostomy in children

Abstract Introduction Mitrofanoff appendicovesicostomy is needed for securing a conduit for clean intermittent catheterization in children with myelomeningocele, posterior urethral valves and non-neuropathic neuropathic bladder. An open technique is widely used; herein we report our initial experien...

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Bibliographic Details
Published in:Journal of pediatric urology 2013-08, Vol.9 (4), p.427-431
Main Authors: Badawy, Haytham, Eid, Ahmed, Dawood, Walid, Hanno, Ahmed
Format: Article
Language:English
Subjects:
Administration, Intravesical
Appendectomy - methods
Appendicovesicostomy
Appendix - surgery
Child
Child, Preschool
Cystostomy - methods
Feasibility Studies
Follow-Up Studies
Humans
Laparoscopic
Laparoscopy - adverse effects
Laparoscopy - methods
Male
Meningomyelocele - surgery
Mitrofanoff
Myelomeningocele
Pediatrics
Treatment Outcome
Urinary Bladder, Neurogenic - surgery
Urinary Diversion - methods
Urology
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Summary:Abstract Introduction Mitrofanoff appendicovesicostomy is needed for securing a conduit for clean intermittent catheterization in children with myelomeningocele, posterior urethral valves and non-neuropathic neuropathic bladder. An open technique is widely used; herein we report our initial experience with minimally invasive laparoscopic appendicovesicostomy in children. Patients and methods During 2007–2011 we operated on 4 male children with a mean age of 6 years (3–9) suffering from posterior urethral valves (1), myelomeningocele (2), and non-neuropathic neuropathic bladder (1). A posterior Mitrofanoff trough was used in one child while in the remaining children we used the anterior Mitrofanoff trough. Results The mean operative time was 3.5 h (3–5). The mean hospital stay was 3.7 days (2–5). The mean follow up was 12.5 months (5–30). All are continent; one child was converted to open because of failure to pass the catheter at the end of the procedure. Cosmetic aspect is perfect. No difficulty in catheterization was encountered. Conclusion Laparoscopic Mitrofanoff is a feasible, safe and effective technique associated with low morbidity.
ISSN:1477-5131
1873-4898
DOI:10.1016/j.jpurol.2012.05.013