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Appendicovesicostomy as an Alternative Procedure for Patients with Complex Urethral Distraction Defect

Amir Reza Abedi, Saleh Ghiasy, Morteza Fallah-karkan, Seyyed Ali Hojjati, Jalil Hosseini



Purpose: Surgi­cal repair of post-traumatic complex urethral stricture poses a major challenge to urologists. Here, we report six patients with irreparable urethral strictures who were successfully treated by using the appendix as conduit for urinary diversion.

Materials and Methods: Six patients who had underwent urinary diversion using an appendix during 2015 to 2019 were included in our study. All patients had a history of one or more failed attempts of urethral reconstruction in the past. Mean follow-up for patients was 29 months. Continency was defined as being completely dry for at least3 hours.

Results: Mean age of patients was 40.1 years old (range: 20-70 years). Intermittent catheterization through the conduit was easily performed for every patient without any stomal stenosis. Mild stomal incontinence only occurred in one case which was resolved after a few months. All patients were continent during day and night.

Conclusion: Based on the results of our study, Mitrofanoff’s technique is a valuable procedure for managing patients with serious complicated urethral strictures who cannot be treated with common standard approaches.


urethral stricture; urinary diversion; appendix diversion; Mitrofanoff’s; Appendicovesicostomy


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DOI: http://dx.doi.org/10.22037/uj.v0i0.5592


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