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).
Department of Surgery, University of Kentucky Chandler Medical Center, University of Kentucky Children's Hospital, Lexington, USA.
R G
RG
Bruce
J W
JW
McRoberts
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