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Case ReportOpen Access
Mitrofanoff Procedure Incombination with Enterocystoplasty for Detrusor Hyperreflexia with External Sphincter Dyssynergia: One-Year Experience of 12 Cases
Kochakam W 
,
Muangman V
,
Muangman V Twelve patients with the mean เธ—age of 35 years who had undergone Mitrofanoff procedure
incombination with enterocystoplasty between 1998-1999 were interviewed. All of the patients
had suprasacral spinal cord injuries for the mean of 3.5 years from the accident to the operation
and failure of medical treatment to suppress hyperreflexic bladder. The vermiform appendix was
used to implant as continent stoma in 10 cases and ileal segment was used in 2 cases due to prior
appendectomy. The bladder capacity was increased from the mean of 180 ml before the operation
to 300 ml intraoperation and 800 ml at I year post-operation. Up to I year, no immediate and late
complication was detected except one case who had orchitis at eleven months post-operation. All
of them still have continence and self-intermittent catheterization can easily be performed
vixl
con-
tinent stoma at the abdominal wall.
Key word
: Mitrofanoff, Catheterization, Continence
incombination with enterocystoplasty between 1998-1999 were interviewed. All of the patients
had suprasacral spinal cord injuries for the mean of 3.5 years from the accident to the operation
and failure of medical treatment to suppress hyperreflexic bladder. The vermiform appendix was
used to implant as continent stoma in 10 cases and ileal segment was used in 2 cases due to prior
appendectomy. The bladder capacity was increased from the mean of 180 ml before the operation
to 300 ml intraoperation and 800 ml at I year post-operation. Up to I year, no immediate and late
complication was detected except one case who had orchitis at eleven months post-operation. All
of them still have continence and self-intermittent catheterization can easily be performed
vixl
con-
tinent stoma at the abdominal wall.
Key word
: Mitrofanoff, Catheterization, Continence
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