Mitrofanoff appendicovesicostomy, also known as the Mitrofanoff procedure, is a surgical procedure in which the appendix is used to create a conduit between the skin surface and the urinary bladder. In the procedure, the surgeon separates the appendix from its attachment to the cecum, while maintaining its blood supply, then creates an opening at its blind end and washes it. One end is connected by surgical sutures to the urinary bladder, and the other is connected to the skin to form a stoma. Generally, an incision is made into the umbilicus(belly button) so it may serve as the canal for the catheter. Urine is typically drained several times a day by use of a catheter inserted into the Mitrofanoff canal. This procedure allows for more independence, especially for wheelchair-bound individuals, particularly females who have a more difficult time with cathing.

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Yes, yes, yes! Highly recommend!

My daughter had this procedure, along with a ureter replant and bladder augmentation, 5 years ago (when she was 6). It has been the best surgery for helping her to maintain independence. She catheters herself every 3 hours during the day, simply goes into a restroom with her purse and sits on a toilet just like a typical person. Insert cath into belly button and allows urine to drain into toilet. No one has to know that she isn't peeing in the typical manner. This has been great for public independence. She still wears a pull-up at night due to not cathing all night, she leaks when bladder is really full. This surgery also really cuts down on urinary tract and bladder infections.
- Lydia Wells


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