Yang-Monti’s Catheterizable Stoma in Children

Background: in 1981, mitrofanoff described a procedure to create a continent urinary stoma for clean intermittent catheterization. since then several procedures have been described including yang-monti ileovesicostomy for effective catheterization. objectives: we report on our experience from the use of monti’s procedure in children at our center. patients and methods: children < 18 years of age undergoing urinary diversion/reconstruction with yang-monti’s procedure for congenital conditions or neuropathic bladder formed the study group. all these children, post-operatively were taught clean intermittent catheterization (cic) and put on a regime using a 14/16 fr catheter every 3 hours. the children were followed regularly at 3, 6, 12, 18 and 24months post-operatively, with special attention paid to any problems with catheterization and incontinence. results: during the period from jan 2000 to dec 2011, at our center, 19 children less than eighteen years of age underwent urinary diversion with yang-monti’s catheterizable stoma. the indications for urinary diversion was neuropathic bladder in eight, exstrophy bladder in seven , valve bladder syndrome in three and persistent urethral stricture in one. none of the children found cic difficult during the post-operative period and there was no hindrance to the passage of the catheter. conclusions: although the appendix remains the tissue of choice for creation of catherterizable stoma, the yang-monti ileovesicostomy is effective, convenient conduit for children. long-term complications are minimal and children find this comfortable to do cic.