Mitrofanoff procedure
Pronunciation: MIT-ro-fan-off
Surgical creation of a continent catheterizable channel connecting the bladder to the skin surface, typically using the appendix.
Full Definition
A reconstructive urological procedure that creates a continent catheterizable channel (stoma) to allow bladder emptying via intermittent catheterization through the abdominal wall. Named after Paul Mitrofanoff, this technique most commonly uses the appendix as a conduit between the bladder and umbilicus or right lower quadrant. The procedure is indicated for children who cannot perform urethral catheterization due to anatomical constraints, mobility issues, or preference for independence. The channel incorporates a continence mechanism to prevent spontaneous leakage while allowing easy catheter passage.
Usage
Usage note: Always capitalize as it's named after the surgeon; distinguish from other continent diversions.
In Context
- "The Mitrofanoff procedure provided the adolescent with independence for bladder management." — Consultation note
- "Post-operative imaging confirmed patent Mitrofanoff channel without stenosis." — Imaging report