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Catheterizable Channels in Pediatric Urology: Surgical Approaches
Lauren Poniatowski, MD, MS1, Mark Cain, MD2.
1University of Washington, Seattle, WA, USA, 2Seattle Children's Hospital, Seattle, WA, USA.

BACKGROUND: Catheterizable channels are used as a surgical treatment for pediatric patients with neurogenic bladder or congenital malformation of the urinary tract. There are several approaches for creation of catheterizable channels in pediatric urology using the Mitrofanoff principle. The appendix is most commonly utilized, however the Monti ileovesicostomy can be performed when the appendix is unavailable for use. In this video we discuss step-by-step approaches to these techniques. METHODS: The key steps of variations in approach for appendicovesicostomy and ileovesicostomy were recorded in pediatric patients. Procedure types include appendicovesicostomy including extravesical and split appendix as well as ileovesicostomy with traditional Monti and spiral Monti approaches.RESULTS: The presented approaches allow for durable results for pediatric patients and the variations in approach address the anatomical needs of each patient.
CONCLUSIONS: Creation of catheterizable channels via the presented techniques allow for intermittent catheterization via continent catheterizable stoma for pediatric patients.


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