title: Creation of an appendicovesicostomy Mitrofanoff from a preexisting appendicocecostomy utilizing the spilt appendix technique.
abstract: Continent catheterizable channels have revolutionized reconstructive surgery to achieve both urinary and fecal continence. The Mitrofanoff and Malone antegrade continent catheterizable channels offer improved quality of life relative to permanent incontinent stomas. A frequently employed surgical option for creating a Mitrofanoff when an existing appendicocecostomy exists involves harvesting a separate piece of intestine. If however the Malone has preceded the creation of a Mitrofanoff, we describe a surgical technique that may avoid the need for a bowel harvest and resultant anastomosis. We report our series of patients utilizing a novel alternative strategy in the select clinical circumstance of an existing appendicocecostomy to expand the armamentarium of the urologic reconstructive surgeon.
authors.affiliation: Division of Urology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA. Electronic address: brian.vanderbrink@cchmc.org.
authors.forename: Brian A
authors.initials: BA
authors.lastname: VanderBrink
authors.affiliation: Colorectal Center for Children, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
authors.forename: Marc A
authors.initials: MA
authors.lastname: Levitt
authors.affiliation: Division of Urology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
authors.forename: W Robert
authors.initials: WR
authors.lastname: Defoor
authors.affiliation: Division of Urology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
authors.forename: Shumyle
authors.initials: S
authors.lastname: Alam
mesh_terms: D000714:Anastomosis, Surgical; D001065:Appendix / Q000601:surgery*; D002432:Cecum / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005242:Fecal Incontinence / Q000601:surgery*; D005260:Female; D006801:Humans; D012086:Reoperation; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000601:surgery*; D014549:Urinary Incontinence / Q000601:surgery*
keywords: Appendicocecostomy; Appendicovesicostomy; Malone antegrade continence enema; Mitrofanoff; Split appendix