title: Safety and feasibility of laparoscopic appendicovesicostomy in children.
abstract: BACKGROUND
  Mitrofanoff appendicovesicostomy is needed for securing a conduit for clean intermittent catheterization in children with myelomeningocele, posterior urethral valves and non-neuropathic neuropathic bladder. An open technique is widely used; herein we report our initial experience with minimally invasive laparoscopic appendicovesicostomy in children.
  
  
  METHODS
  During 2007-2011 we operated on 4 male children with a mean age of 6 years (3-9) suffering from posterior urethral valves (1), myelomeningocele (2), and non-neuropathic neuropathic bladder (1). A posterior Mitrofanoff trough was used in one child while in the remaining children we used the anterior Mitrofanoff trough.
  
  
  RESULTS
  The mean operative time was 3.5 h (3-5). The mean hospital stay was 3.7 days (2-5). The mean follow up was 12.5 months (5-30). All are continent; one child was converted to open because of failure to pass the catheter at the end of the procedure. Cosmetic aspect is perfect. No difficulty in catheterization was encountered.
  
  
  CONCLUSIONS
  Laparoscopic Mitrofanoff is a feasible, safe and effective technique associated with low morbidity.
authors: Department of Urology, University of Alexandria, Egypt. hithamalmetwale@yahoo.com
authors: Haytham
authors: H
authors: Badawy
authors: Ahmed
authors: A
authors: Eid
authors: Walid
authors: W
authors: Dawood
authors: Ahmed
authors: A
authors: Hanno
mesh_terms: D000283:Administration, Intravesical; D001062:Appendectomy / Q000379:methods*; D001065:Appendix / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003559:Cystostomy / Q000379:methods*; D005240:Feasibility Studies; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008591:Meningomyelocele / Q000601:surgery; D016896:Treatment Outcome; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*