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The Mainz pouch (mixed augmentation ileum 'n zecum) for bladder augmentation and continent urinary diversion.

Abstract：

:A new technique for fashioning an ileocecal pouch, applicable for both bladder augmentation and continent urinary diversion, is described. A low pressure reservoir is achieved by antimesenteric longitudinal transsection of ileum and cecum and formation of a pouch from the cecum and two ileal loops. The antireflux procedure consists of submucosal tunnel implantation of the ureters into the cecum. Clinical application of the operative technique in 4 cases for bladder augmentation and in another 6 cases for urinary diversion has proven the validity of our functional concept: all patients with Mainz pouch bladder augmentation are completely dry day and night with normal intervals of bladder evacuation. Of the 6 patients with Mainz pouch urinary diversion, 2 rely on a an all alloplastic stomal prosthesis for continence, another 2 have achieved continence with isoperistaltic ileo-ileal invagination, and the remainder are awaiting implantation of a sphincteric device.

journal_name

Eur Urol

journal_title

European urology

authors

Thüroff JW,Alken P,Engelmann U,Riedmiller H,Jacobi GH,Hohenfellner R

doi

10.1159/000472481

subject

Has Abstract

pub_date

1985-01-01 00:00:00

pages

152-60

issue

3

eissn

0302-2838

issn

1873-7560

journal_volume

11

pub_type

杂志文章

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