Percutaneous Suprapubic Cystolitholapaxy in Adult Patients with Previous Mitrofanoff Repair: Considerations for the Interventional Radiologist

Percutaneous suprapubic cystolitholapaxy (PSCL) is largely performed in the pediatric population for the treatment of  bladder calculi in augmented and native bladders. It is rarely performed in adults, in whom open cystolithotomy or transurethral cystoscopic techniques are generally employed. However, a transurethral approach is precluded in patients born with bladder exstrophy who have had previous Mitrofanoff procedures as children and in whom the bladder neck is closed. First described by Mitrofanoff in 1980 (1), the procedure involves creation of a urinary diversion and stoma fashioned from the appendix (2), ie, an appendicovesicostomy, after which patients are usually continent, intermittently self-ca theterizing the stoma.

Source: Journal of Vascular and Interventional Radiology : JVIR - August 23, 2017 Category: Radiology Authors: Umer Salati, Colin Lundeen, Ben Chew, Jean Buckley Tags: Special Letter Section Source Type: research