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

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.

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 least 3 hours.

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 oc - curred in one case which was resolved after a few months. All patients were continent during day and night.

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