Pd33-05 mitrofanoff continent urinary diversion : better life confort in spite of surgical complications

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: Ureter (including Pyeloplasty) and Bladder Reconstruction (including fistula), Augmentation, Substitution, Diversion I (PD33)1 Apr 2019PD33-05 MITROFANOFF CONTINENT URINARY DIVERSION : BETTER LIFE CONFORT IN SPITE OF SURGICAL COMPLICATIONS Mohamed Amine Mseddi, Anis Rekhis, Nouri Rebai, Houcine Bouchaala, Salem Mayouf, Mohamed Fourati, Walid Smaoui, Majed Hamza, Mourad Hadj Slimen, and Mhiri Mohamed Nabil* Mohamed Amine MseddiMohamed Amine Mseddi More articles by this author , Anis RekhisAnis Rekhis More articles by this author , Nouri RebaiNouri Rebai More articles by this author , Houcine BouchaalaHoucine Bouchaala More articles by this author , Salem MayoufSalem Mayouf More articles by this author , Mohamed FouratiMohamed Fourati More articles by this author , Walid SmaouiWalid Smaoui More articles by this author , Majed HamzaMajed Hamza More articles by this author , Mourad Hadj SlimenMourad Hadj Slimen More articles by this author , and Mhiri Mohamed Nabil*Mhiri Mohamed Nabil* More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000556149.26060.42AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: To evaluate the psychological repercussions, the degree of adaptation to daily life and the complications of patients with a Mitrofanoff continent external urinary diversion (MCEUD). METHODS: Between 1992 and 2018, 180 patients underwent bladder augmentation using ileum and continent urinary diversion using Mitrofanoff procedure in our institution. 122 patients (67.7%), 66 males and 56 females, were questioned about their diversion, concerning their living conditions. We used a self-administered questionnaire of 19 items translated in their spoken language. In addition, we reviewed the cases of patients who had complications after a minimum of 5 years postoperative follow-up. RESULTS: The appendix was used in 161 cases (89.3%). All patients were continent, including 6 after local stoma revision and 7 after bladder neck closure. The self-survey was easy in 103 cases (84.4%). A stenosis of the duct was noted in 49 cases (27%) requiring calibration in 44 cases and surgical revision in 5 cases. Daily activity limitation and tiredness were present respectively in 4% and 17.5%. 82 out of 89 patients (92%) had returned to work and 53 out of 67 patients (79%) successfully took back their usual education. Out of 62 patients who used to be sexually active, 51 reported a satisfactory sexual life after their operation (82.25%). 3 women had got normal pregnancy and then operated by caesarean section with a good outcome. Bladder stones were found in 24 patients (13.4%). CONCLUSIONS: The MCEUD was appreciated by 95% of the patients for the improvement of the hygienic conditions and the positive psychological repercussions, which allow a better familial, social and professional integration compared to other non continent diversion procedures. Better information of the patients on this kind of operation with close follow up to detect early disorders is the guarantee of reduction of complications rate. Source of Funding: none Sfax, Tunisia© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e578-e579 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mohamed Amine Mseddi More articles by this author Anis Rekhis More articles by this author Nouri Rebai More articles by this author Houcine Bouchaala More articles by this author Salem Mayouf More articles by this author Mohamed Fourati More articles by this author Walid Smaoui More articles by this author Majed Hamza More articles by this author Mourad Hadj Slimen More articles by this author Mhiri Mohamed Nabil* More articles by this author Expand All Advertisement PDF downloadLoading ...