Is continent diversion using the Mitrofanoff principle a viable long-term option for adults requiring bladder replacement?
OBJECTIVE
To audit the long-term outcome of patients with Mitrofanoff continent urinary diversion (MUD) to inform counselling of future patients concerning the procedure.


METHODS
All patients who underwent MUD between 1990 and 2003 were identified. Continence, urinary tract infection (UTI), calculus formation and renal function were assessed by chart review and interviews.


RESULTS
Of the 29 patients identified 12 were women and 17 men with a mean (range) age of 48 (18-79) years at operation. The median (range) follow-up was 126 (5-190) months. On questioning, 25 of 28 (89%) patients stated that they were continent. There was more than one confirmed UTI per year in two patients. Half of the patients had at least two UTIs within the follow-up period but with no deterioration in renal function. Calculi developed in eight (29%) patients; four with bladder, three with renal and one with both renal and bladder calculi. Stomal stenosis developed in 15 (54%) patients requiring intervention at a mean (range) rate of 0.4 (0.1-2.4) episodes per year and nine ultimately required stomal reconstruction. Five (18%) patients required conversion to ileal conduit, two of these for persistent incontinence and three for recurrent stomal complications, at a mean (range) of 82 (9-140) months.


CONCLUSIONS
MUD is effective in offering continence with no major deterioration of renal function; however, this needs to be balanced against the need for subsequent additional interventions for stomal stenosis, stone formation and UTI on an individual basis.
Sahadevan
Kanagasabai
K
Department of Urology, Freeman Hospital, Newcastle upon Tyne, UK. ksahadevan@doctors.net.uk
Pickard
Robert S
RS
Neal
David E
DE
Hasan
Tahseen S
TS
D000293:Adolescent; D000328:Adult; D000368:Aged; D003376:Counseling; D015653:Cystectomy / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008485:Medical Audit; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000209:etiology* / Q000523:psychology; D011446:Prospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D001745:Urinary Bladder Diseases / Q000523:psychology / Q000601:surgery*; D014547:Urinary Diversion / Q000009:adverse effects / Q000379:methods* / Q000592:standards; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects / Q000592:standards*