Cecoappendicovesicostomy: conduit-lengthening technique for use in continent urinary reconstruction.
OBJECTIVE
To describe a conduit-lengthening technique for use in continent cutaneous appendicovesicostomy (Mitrofanoff procedure).


METHODS
Fifteen consecutive patients (4 male, 11 female) with a mean age of 14.2 years underwent tubularized cecal augmentation as a means to lengthen the catheterizable conduit while performing continent cutaneous appendicovesicostomy.


RESULTS
All patients successfully underwent appendiceal lengthening by tubularizing the cecum, thus creating a continent cutaneous cecoappendicovesicostomy. With a mean follow-up of 18.7 months, all patients have a working catheterizable conduit. One case of stomal stenosis occurred, producing a 6.7% conduit-related complication rate.


CONCLUSIONS
Cecoappendicovesicostomy is a safe and useful means of conduit lengthening for patients undergoing continent cutaneous appendicovesicostomy (Mitrofanoff procedure).
Bruce
R G
RG
Department of Surgery, University of Kentucky Chandler Medical Center, University of Kentucky Children's Hospital, Lexington, USA.
McRoberts
J W
JW
D000293:Adolescent; D001065:Appendix / Q000601:surgery*; D002431:Cecostomy; D003559:Cystostomy; D005260:Female; D006801:Humans; D008297:Male; D013514:Surgical Procedures, Operative / Q000379:methods; D014549:Urinary Incontinence / Q000601:surgery*; D016476:Urinary Reservoirs, Continent