The long-term outcome of mitrofanoff in adults
BAUS ePoster online library. Kocadag H. Jun 27, 2018; 211399; P10-11
Dr. Huriye Kocadag
Dr. Huriye Kocadag
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Abstract
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Introduction: Outcomes in adult Mitrofanoff patients are largely unknown. Revision rates of up to 50% have been reported in children and 85% in adults.

Patients and Methods: We performed a retrospective case note review of 176 consecutive adult patients (median age 42 years) having Mitrofanoff channel formation a median of 142 months (range 54-386) ago. We evaluated outcome in terms of continued use, continence, stones, need for endoscopic and / or open revision. We correlated these outcomes with indication for Mitrofanoff formation. Statistical analysis was by Chi Squared analysis.

Results: The 176 patients had a median of 51.5 months (range 2-293) follow-up (FU) available. Outcomes at last FU are listed in Table 1.

Conclusion: Mitrofanoff formation was successful (used by patient and continent) in 77% of adult patients at the expense of stone development in 19%, a 49% endoscopic and a 39% open revision rate. Stone development rate was highest in patients with congenital aetiology whilst revision rates were highest in patients with complex incontinence aetiology. Persistent usage was lowest in patients with neuropathic aetiology.
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