The role of Mitrofanoff appendicovesicostomy in the management of a pelvic fracture urethral distraction defect in a 24-year-old man after multiple failed reconstruction attempts

Abstract

Failed pelvic fracture urethral distraction defect (PFUDD) repairs present a considerable challenge for management. Redo urethro­plasties for failed repairs are associated with higher recurrence and morbidity rates. The case presented describes a male patient with a PFUDD who had undergone multiple failed repairs. Mitrofanoff appendicovesicostomy was successfully carried out, and the patient remains continent to date. Mitrofanoff appendicovesicostomy is not commonly employed in the management of adult urethral stricture disease. We present our experience with managing a PFUDD after multiple failed urethroplasties using a continent catheterizable urinary diversion technique.