The Mitrofanoff procedure creates a channel that allows urine to be emptied through a channel in the abdomen, rather than through the urethra. The procedure is an option for patients with spinal cord injuries or that have difficulty with self-catheterization.
How is the Mitrofanoff Procedure Performed?
Surgeons take the appendix or part of the colon and create a self-sealing tube that connects the bladder to the abdomen. This tube allows for the insertion of a catheter to empty the bladder intermittently. A one-way valve uses bladder pressure to prevent leakage.
Who is a Candidate for the Mitrofanoff Procedure?
The Mitrofanoff procedure is considered major surgery, and the bladder requires certain traits for a patient to be considered a viable candidate. The bladder must be large enough to store sufficient urine and at low pressure; some patients may require a bladder augmentation. Patients must also be capable of regular self-catheterization or have the appropriate support.
Care at Columbia Urology
At Columbia Urology, we have unmatched experience with the latest techniques and technologies. Make an appointment with one of our experts to determine if the Indiana pouch is a good option for you or your child.