Mitrofanoff procedure
Pronunciation: MEE-troh-fan-off
Surgical creation of a continent catheterizable channel from the bladder to the skin using appendix or bowel.
Full Definition
The Mitrofanoff procedure, also known as appendicovesicostomy, is a reconstructive surgical technique that creates a continent catheterizable channel between the bladder and the abdominal wall. Most commonly, the appendix is used as conduit, though other bowel segments may be utilized. This procedure allows patients with neurogenic bladder, bladder exstrophy, or other conditions requiring intermittent catheterization to empty their bladder through a small stoma on the abdomen rather than through the urethra. The channel incorporates a one-way valve mechanism to prevent urine leakage between catheterizations, providing patients with greater independence and improved quality of life.
Usage
Usage note: Named after French pediatric surgeon Paul Mitrofanoff; capitalize as proper noun.
In Context
- "The pediatric urologist recommended a Mitrofanoff procedure for the spina bifida patient." — Consultation letter
- "Post-operative care for Mitrofanoff patients includes strict catheterization schedules." — Nursing protocol