Mitrofanoff principle

In cases of complete disruption of the posterior urethra, the first step treatment is suprapubic drainage. The Mitrofanoff principle (interposition of the appendix between the urinary bladder and the abdominal wall), has been occasionally applied in severely crushed patients to divert the urine (Freitas Filho et al. 2003). No consensus has been made regarding the surgical strategy (Onen et al. 2005). Either primary realignment over a urethral tube, immediate surgery or delayed repair can be performed. 

Freitas Filho LG, Carnevale J, Melo Filho AR, Vicente NC, Heinisch AC, Martins JL (2003) Posterior urethral injuries and the Mitrofanoff principle in children. Br J Urol Int 91 402-405... 

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See also in sourсe #XX -- [ ]

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