Abstract
Fifteen children with urinary incontinence underwent continent urinary diversion using
Mitrofanoff principle between April 1990 and March 1993, at a mean age of 14 years.
Neurogenic bladder was the main underlying cause of incontinence and spina bifida
accounted for the majority of cases (12 patients).
Reversed vascularised appendix was used as a cutaneous stoma for intermittent self-catheterisation
Fourteen out of the fifteen children treated, achieved urinary continence with 3-4
hourly catheterisation.
Key words
Urinary incontinence - Continent diversion - Mitrofanoff principle
