Transversely tubularized ileal segments for the Mitrofanoff or Malone antegrade colonic enema procedures: the Monti principle.
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.
Sugarman
I D
ID
Department of Paediatric Urology, Southampton General Hospital, UK.
Malone
P S
PS
Terry
T R
TR
Koyle
M A
MA
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*