Abstract | BACKGROUND: In 1981, Mitrofanoff described a procedure to create a continent urinary stoma for clean intermittent catheterization. Since then several procedures have been described including Yang-Monti ileovesicostomy for effective catheterization. OBJECTIVES: We report on our experience from the use of Monti's procedure in children at our center. PATIENTS AND METHODS: Children < 18 years of age undergoing urinary diversion/reconstruction with Yang-Monti's procedure for congenital conditions or neuropathic bladder formed the study group. All these children, post-operatively were taught clean intermittent catheterization (CIC) and put on a regime using a 14/16 Fr catheter every 3 hours. The children were followed regularly at 3, 6, 12, 18 and 24months post-operatively, with special attention paid to any problems with catheterization and incontinence. RESULTS: CONCLUSIONS: Although the appendix remains the tissue of choice for creation of catherterizable stoma, the Yang-Monti ileovesicostomy is effective, convenient conduit for children. Long-term complications are minimal and children find this comfortable to do CIC.
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Authors | Rajendra Bapusaheb Nerli, Shivagouda Malgouda Patil, Murigendra Basayya Hiremath, Mallikarjun Reddy |
Journal | Nephro-urology monthly
(Nephrourol Mon)
Vol. 5
Issue 3
Pg. 801-5
(Jul 01 2013)
ISSN: 2251-7006 [Print] Netherlands |
PMID | 24282789
(Publication Type: Journal Article)
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