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Application of the Mitrofanoff principle for intermittent self- catheterization in quadriplegic patients.

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    Application of the Mitrofanoff principle for intermittent self- catheterization in quadriplegic patients.

    • Hakenberg OW, Ebermayer J, Manseck A and Wirth MP (2001). Application of the Mitrofanoff principle for intermittent self- catheterization in quadriplegic patients. Urology. 58 (1): 38-42. Summary: OBJECTIVES: Patients with cervical spinal cord lesions have impaired hand function, which often prohibits clean intermittent self- catheterization (CIC), especially in female patients. Enabling these patients to perform CIC gives them control of their bladder management and can improve their quality of life considerably. We have used an appendicovesicostomy to provide easy access for CIC in such patients. METHODS: Five patients (4 women, 1 man) with a mean age of 31 years (range 20 to 52) and a mean duration of the cervical cord lesion of 22 months (range 7 to 37) underwent appendicovesicostomy. Three patients were young victims of motor vehicle accidents, 1 patient had a progressive rheumatoid arthritic disorder, and 1 patient had a complex functional paraplegia syndrome and underwent bladder augmentation at the same time. RESULTS: The surgical procedure with the creation of a catheterizable stoma in the right lower abdominal quadrant was successful in all cases but was complicated by mechanical ileus in the patient with simultaneous bladder augmentation. All patients learned to perform independent CIC with continuing anticholinergic medication. Stomal stenosis did not occur in any of the 5 patients, and urinary tract infections occurred once in 2 patients and repeatedly in 1 patient. Three of 5 patients have been enabled by independent bladder management to achieve occupational rehabilitation. CONCLUSIONS: Appendicovesicostomy is a suitable procedure in patients with cervical spinal cord lesions who are otherwise unable to perform independent CIC. The creation of a catheterizable abdominal stoma enables these patients to gain independent control of their bladder management. However, caution in patient selection is advisable as probably the best results are achieved in highly motivated, younger patients with traumatic cervical cord lesions. <http://www.ncbi.nlm.nih.gov/htbin-post/Entrez/query?db=m&form=6&dopt=r&uid=11445476> Department of Urology, University Hospital Carl-Gustav Carus, Dresden, Germany.

    #2
    is there any other info on this procedure on this site?

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      #3
      I am not aware of any other information on this site. If this procedure interests you, you may want to talk to your provider to see if it would be appropriate for you. It is not for everyone, but when appropriate, it works well. If you are a good candidate for the procedure, you would be receiving a lot more information.

      If you want information for your general knowledge, you can do an internet search on one of the medical web sites such as www.medscape.com.
      (jah)
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

      Comment


        #4
        Originally posted by SCI-Nurse
        I am not aware of any other information on this site. If this procedure interests you, you may want to talk to your provider to see if it would be appropriate for you. It is not for everyone, but when appropriate, it works well. If you are a good candidate for the procedure, you would be receiving a lot more information.

        If you want information for your general knowledge, you can do an internet search on one of the medical web sites such as www.medscape.com.
        (jah)
        I HAD THAT OPERATION DONE AUG,26 , 2005 AND I ALSO I'M ON 15 MEDICATIONS A DAY ONE BEING LASIX , AND I'M HAVING ALOT OF PROBLEMS WITH IT LEAKING IF I DON'T DRAIN IT EVERY 15 MINUTES FOR THE FIRST 7 HOURS OF THE DAY, MINE I LEAK OUT GOING THROUGH MY NAVAL , NOW MY DR. WANT TO INJECT BO TOX , WHAT DO YOU THINK LBUSH49@COMCAST.NET

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          #5
          Isn't this a basic description of the Mitrofanoff procedure? If so there is lots of info on this site.

          Edited, sorry didn't realize how old this original thread was.
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