The role of Mitrofanoff appendicovesicostomy in the management of a pelvic fracture distraction defect in a 24- year-old man after multiple failed reconstruction attempts

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The role of Mitrofanoff appendicovesicostomy in the management of a pelvic fracture distraction defect in a 24- year-old man after multiple failed reconstruction attempts


JournalEast and Central African Journal of Surgery
Article typeJournal research article – Case report / series
Publication date – May – 2021
Authors – Mumba Chalwe, Seke M.E. Kazuma
Keywordscomplex PFUDD repair, failed PFUDD repair, Mitrofanoff urinary diversion, pelvic fracture disruption defects
Open access – Yes
SpecialityGeneral surgery, Trauma and orthopaedic surgery, Trauma surgery, Urology surgery
World region Eastern Africa
Country: Zambia
Language – English
Submitted to the One Surgery Index on May 27, 2021 at 2:39 am
Abstract:

Failed Pelvic Fracture Distraction Defect repairs present a considerable challenge for management. Re-do urethroplasties for failed repairs are associated with higher recurrence and morbidity rates. The case presented describes a male patient with a pelvic fracture urethral distraction defect (PFUDD) who had undergone multiple failed repairs. The Mitrofanoff appendicovesicostomy was successfully carried out and the patient remains continent to date. The Mitrofanoff appendicovesicostomy is not commonly employed in the management of adult urethral stricture disease. We present our experience with managing a pelvic fracture urethral disruption defect (PFUDD) after multiple failed urethroplasties using a continent catheterisable urinary diversion technique

OSI Number – 21103

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