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Br J Urol. 1994 Jan;73(1):55-60.

The Mitrofanoff principle for urethral failure.

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Department of Urology, St George's Hospital, London, UK.



To assess the outcome of surgery for urethral failure.


Patients undergoing lower urinary tract reconstruction are recorded prospectively by protocol. Thirty-four are presented whose urethra had failed as a conduit; in 23 the urethra was incontinent and in 11 it was spastic causing chronic retention. The incontinent patients had failed a variety of reconstructions, in five including insertion of an artificial sphincter. Those with chronic retention were unable to self-catheterize the urethra.


A continent supra-public diversion using the Mitrofanoff principle was performed. In two patients a new technique was used in which a detrusor tube formed the continent conduit. Ninety-four per cent of patients were continent. Two patients voided to completion, the remainder emptied by self-catheterization. Five minor revisions were required to allow easy catheterization. There was one death. The complication rate was 17%.


This type of reconstruction is preferable to the formation of an ileal conduit in this difficult group of patients.

[Indexed for MEDLINE]

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