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- W2029812000 abstract "No AccessJournal of UrologyClinical Urology: Original Article1 Jan 1997Intermittent Self-Catheterization by Quadriplegic Patients Via a Catheterizable Mitrofanoff Channel James A. Sylora, Ricardo Gonzalez, Mary Vaughn, and Yuri Reinberg James A. SyloraJames A. Sylora More articles by this author , Ricardo GonzalezRicardo Gonzalez More articles by this author , Mary VaughnMary Vaughn More articles by this author , and Yuri ReinbergYuri Reinberg More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)65277-7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Neurogenic bladder due to cervical spinal cord injury is often best managed by clean intermittent catheterization. Limited upper extremity function makes patients with quadriplegia dependent on caregivers for clean intermittent catheterization. The Mitrofanoff umbilical appendicovesicostomy provides easy access to the bladder in patients with all types of access difficulty. We evaluated the Mitrofanoff umbilical appendicovesicostomy in 7 patients with quadriplegia. Materials and Methods: Four men and 3 women with cervical spinal cord injury underwent the Mitrofanoff umbilical appendicovesicostomy with appendix (5) or ileum (2). Results: All patients are continent and able to self-catheterize via the umbilical stoma. In 1 patient with an ileal Mitrofanoff umbilical appendicovesicostomy umbilical incontinence was repaired surgically and stomal stenosis developed in 1, which required stomal revision. All patients use the stoma regularly. Four patients have moved out of care facilities and are living more independently. Conclusions: The Mitrofanoff catheterizable channel is a valuable option for bladder management in patients with quadriplegia. Clean intermittent self-catheterization allows these patients independent function and facilitates their return to productive lives outside care facilities. References 1 : Urinary diversion and reconstruction in the patient with spinal cord injury.. Urol. Clin. N. Amer.1995; 20: 465. Google Scholar 2 : The Mitrofanoff principle in continent urinary reservoirs. Sem. Urol.1987; 5: 55. Google Scholar 3 : Mitrofanoff principle in continent reconstruction of the lower urinary tract.. In: Operative Urology. Edited by . Philadelphia: W. B. Saunders Co.1991: 221. chapt. 32. Google Scholar 4 : Cause of death for patients with spinal cord injuries.. Arch. Intern. Med.1989; 149: 1761. Google Scholar 5 : Mortality, morbidity and psychosocial outcomes of persons spinal cord injured more than 20 years ago.. Paraplegia1992; 30: 617. Google Scholar 6 : Further observations on self-catheterization.. J. Urol.1976; 116: 169. 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Google Scholar From Children's Health Care-Minneapolis, Minneapolis, Minnesota, Little Company of Mary Hospital, Evergreen Park, Illinois, and Department of Pediatric Urology, Children's Hospital of Michigan, Detroit, Michigan.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited ByZOMMICK J, SIMONEAU A, SKINNER D and GINSBERG D (2018) Continent Lower Urinary Tract Reconstruction in the Cervical Spinal Cord Injured PopulationJournal of Urology, VOL. 169, NO. 6, (2184-2187), Online publication date: 1-Jun-2003.LIARD A, SÉGUIER-LIPSZYC E, MATHIOT A and MITROFANOFF P (2018) THE MITROFANOFF PROCEDURE: 20 YEARS LATERJournal of Urology, VOL. 165, NO. 6 Part 2, (2394-2398), Online publication date: 1-Jun-2001.BAU M, YOUNES S, AUPY A, BERNUY M, ROUFFET M, YEPREMIAN D and LOTTMANN H (2018) THE MALONE ANTEGRADE COLONIC ENEMA ISOLATED OR ASSOCIATED WITH UROLOGICAL INCONTINENCE PROCEDURES: EVALUATION FROM PATIENT POINT OF VIEWJournal of Urology, VOL. 165, NO. 6 Part 2, (2399-2403), Online publication date: 1-Jun-2001.HUSMANN O and CAIN M (2018) FECAL AND URINARY CONTINENCE AFTER ILEAL CECAL CYSTOPLASTY FOR THE NEUROGENIC BLADDERJournal of Urology, VOL. 165, NO. 3, (922-925), Online publication date: 1-Mar-2001.ENGLISH S, PISTERS L and MCGUIRE E (2018) THE USE OF THE APPENDIX AS A CONTINENT CATHETERIZABLE STOMAJournal of Urology, VOL. 159, NO. 3, (747-749), Online publication date: 1-Mar-1998. Volume 157Issue 1January 1997Page: 48-50 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information James A. Sylora More articles by this author Ricardo Gonzalez More articles by this author Mary Vaughn More articles by this author Yuri Reinberg More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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- W2029812000 title "Intermittent Self-Catheterization by Quadriplegic Patients Via a Catheterizable Mitrofanoff Channel" @default.
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