[Mitrofanoff continent urinary diversions: The opinion of 57 patients].
OBJECTIVE
To evaluate the psychological repercussions and degree of adaptation in daily living of patients with a Mitrofanoff continent external urinary diversion.


METHODS
Fifty seven patients were questioned about their Mitrofanoff continent urinary diversions, using a questionnaire translated into their spoken language (Arabic).


RESULTS
The mean age was 29 years (range: 10 to 72 years). The indication for the diversion was a neurological cause in 91% of cases. Continence was achieved in every case, but after surgical revision in 3 cases. Self-catheterization was considered to be easy and not especially bothersome in 49 cases (86%). The diversion had occasional and moderate repercussions on activities of daily living, estimated between 3.5 and 17.5%. Sixteen patients (94%) returned to work and another fifteen (79%) successfully resumed their schooling. Nineteen patients (83%) who were sexually active preoperatively reported a satisfactory sex life after the operation. Finally, this operation was highly appreciated by the patients in 96.5% of cases for hygienic and psychological reasons.


CONCLUSIONS
The Mitrofanoff urinary diversion allows satisfactory social, work and family rehabilitation provided the patient adapts to diversion management.
Chabchoub
Kamel
K
Service d'Urologie, CHU Habib Bourguiba, Sfax, Tunisie. k.chabchoub@laposte.net
Fakhfakh
Hammadi
H
Sahnoun
Ahmed
A
Bahloul
Ali
A
Mhiri
Mohamed-Nabil
MN
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D010361:Patients / Q000523:psychology*; D011795:Surveys and Questionnaires; D014547:Urinary Diversion