title: The use of the Mitrofanoff principle in achieving clean intermittent catheterisation and urinary continence in children.
abstract: The Mitrofanoff principle has been used to achieve clean intermittent catheterisation (CIC) and urinary continence in 28 children. The mean age at operation was 10.1 years (range, 1 to 19 years). A catheterisable conduit was created using the appendix (19), ureter (8), or vas deferens (1). CIC was commenced 10 to 28 days postoperatively (median, 15 days). After a mean follow-up of 13 months (range, 2 to 45 months), 24 children (86%) have achieved successful CIC and urinary continence. Use of the Mitrofanoff principle is a valuable adjunct to the treatment of urinary incontinence in children and may allow successful CIC in patients who are unable to catheterise urethrally.
authors.affiliation: Department of Paediatric Urology, Hospital For Sick Children, London, England.
authors.forename: E H
authors.initials: EH
authors.lastname: Dykes
authors.forename: P G
authors.initials: PG
authors.lastname: Duffy
authors.forename: P G
authors.initials: PG
authors.lastname: Ransley
mesh_terms: D000293:Adolescent; D000328:Adult; D001065:Appendix; D002648:Child; D002675:Child, Preschool; D003559:Cystostomy / Q000009:adverse effects / Q000379:methods; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D014546:Urinary Catheterization / Q000379:methods; D014547:Urinary Diversion / Q000009:adverse effects / Q000379:methods*