The Utility of Shanfield Implantation Technique During Creation of Mitrofanoff Procedure in Pediatric Age Group

What this Trial Is About

This research focuses on children with neurogenic bladder dysfunction who need an alternative way to empty their bladder because they cannot or do not want to use the natural urethral route. It explores the use of a surgical technique called the Shanfield implantation during the Mitrofanoff procedure, which aims to create a new route for catheterization. This procedure may also be used alongside bladder neck closure or reconstruction when necessary to help achieve continence. The Shanfield implantation technique involves making a small incision in the bladder wall to insert the appendix-Mitrofanoff conduit securely, creating a pathway for catheterization through the abdomen rather than the urethra. This is done either by open surgery or laparoscopically using 3 or 4 small incisions. The new connection is stabilized with special stitches to prevent reflux and maintain continence. The procedure supports patients who have undergone bladder reconstruction or have conditions such as urethral valves, prune belly syndrome, or bladder exstrophy. Participants will be monitored for 18 months after surgery to assess how well the new Mitrofanoff conduit prevents urine backflow. The study will evaluate the anti-reflux function of the stoma created by this technique. Throughout the study, doctors will check the surgical outcomes and bladder function to understand the benefits and challenges of this method. The trial does not involve medication but focuses on surgical outcomes and bladder management in pediatric patients.

The Utility of Shanfield Implantation Technique During Creation of Mitrofanoff Procedure in Pediatric Age Group