title: Transversely tubularized ileal segments for the Mitrofanoff or Malone antegrade colonic enema procedures: the Monti principle.
abstract: OBJECTIVE
  To assess the use of a transverse tubularized segment(s) of ileum in the Mitrofanoff or Malone antegrade colonic enema (MACE) procedures.
  
  
  METHODS
  Eleven patients in three centres underwent the formation of a continent conduit to bowel (MACE, eight patients) and/or bladder (Mitrofanoff, four) using either a single segment of transverse tubularized ileum (10 patients) or two segments of ileum anastomosed and tubularized into a single conduit (two).
  
  
  RESULTS
  Within a follow-up of 8 weeks to 6 months, all conduits were continent and catheterized easily. One stomal stenosis required a revision procedure.
  
  
  CONCLUSIONS
  This method for forming a continent catheterizing conduit, based on the Mitrofanoff principle, appears to be effective and is recommended in cases where the appendix cannot be used or where a second conduit is required.
authors.affiliation: Department of Paediatric Urology, Southampton General Hospital, UK.
authors.forename: I D
authors.initials: ID
authors.lastname: Sugarman
authors.forename: P S
authors.initials: PS
authors.lastname: Malone
authors.forename: T R
authors.initials: TR
authors.lastname: Terry
authors.forename: M A
authors.initials: MA
authors.lastname: Koyle
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004733:Enema; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D012007:Rectum / Q000002:abnormalities; D016135:Spinal Dysraphism / Q000150:complications; D014547:Urinary Diversion / Q000379:methods*; D014549:Urinary Incontinence / Q000601:surgery*