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The Mainz Pouch (Mixed Augmentation Ileum and Cecum) for Bladder Augmentation and Continent Diversion

1986; Lippincott Williams & Wilkins; Volume: 136; Issue: 1 Part 1 Linguagem: Inglês

10.1016/s0022-5347(17)44714-8

1527-3792

J.W. Thüroff, P. Alken, H. Riedmiller, U. Engelmann, G. H. Jacobi, R. Hohenfellner,

Congenital gastrointestinal and neural anomalies

No AccessJournal of Urology1 Jul 1986The Mainz Pouch (Mixed Augmentation Ileum and Cecum) for Bladder Augmentation and Continent Diversion J.W. Thüroff, P. Alken, H. Riedmiller, U. Engelmann, G.H. Jacobi, and R. Hohenfellner J.W. ThüroffJ.W. Thüroff More articles by this author , P. AlkenP. Alken More articles by this author , H. RiedmillerH. Riedmiller More articles by this author , U. EngelmannU. Engelmann More articles by this author , G.H. JacobiG.H. Jacobi More articles by this author , and R. HohenfellnerR. Hohenfellner More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)44714-8AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The surgical technique for construction of the Mainz (mixed augmentation ileum and cecum) ileocecal pouch for bladder augmentation or continent urinary diversion focuses on 3 functional features: 1) creation of a low pressure reservoir of adequate capacity from cecum and 2 ileal loops, which are split open longitudinally, 2) antirefluxing ureteral implantation into cecum or ascending colon, achieved by a standard submucosal tunnel technique, and 3) in cases of bladder augmentation continence depends on competence of the bladder neck and urethral closure mechanisms, while in urinary diversion continent closure of the pouch is achieved by isoperistaltic ileoileal intussusception or implantation of an alloplastic stomal prosthesis. Of 11 patients with Mainz pouch bladder augmentation (5 of which were undiversions) 10 are completely dry day and night with normal intervals of bladder evacuation. Two patients with myelomeningocele are on intermittent catheterization for bladder evacuation, while the remainder void spontaneously without significant residual urine. Of 12 patients with Mainz pouch urinary diversion 6 have an ileoileal intussusception valve and are completely continent, as are 3 of 4 with an alloplastic stomal prosthesis. Two patients still are awaiting implantation of a sphinteric prosthesis. © 1986 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byRubenwolf P, Thomas C, Thüroff J and Stein R (2016) Sexual Function and Fertility of Women with Classic Bladder Exstrophy and Continent Urinary DiversionJournal of Urology, VOL. 196, NO. 1, (140-145), Online publication date: 1-Jul-2016.Rubenwolf P, Thomas C, Thüroff J and Stein R (2015) Sexual Function, Social Integration and Paternity of Males with Classic Bladder Exstrophy following Urinary DiversionJournal of Urology, VOL. 195, NO. 2, (465-470), Online publication date: 1-Feb-2016.Kocot A, Spahn M, Loeser A, Lopau K, Gerharz E and Riedmiller H (2010) Long-Term Results of a Staged Approach: Continent Urinary Diversion in Preparation for Renal TransplantationJournal of Urology, VOL. 184, NO. 5, (2038-2042), Online publication date: 1-Nov-2010.Wiesner C, Stein R, Pahernik S, Hähn K, Melchior S and 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(2018) Effect of Liquid Diphenoxylate Hydrochloride and Atropine Sulfate (Lomotil) Instillations on Dynamics and Function of Continent Cecal Urinary ReservoirsJournal of Urology, VOL. 138, NO. 4 Part 1, (735-738), Online publication date: 1-Oct-1987.Lockhart J (2018) Remodeled Right Colon: An Alternative Urinary ReservoirJournal of Urology, VOL. 138, NO. 4 Part 1, (730-734), Online publication date: 1-Oct-1987. (2018) Reply by AuthorsJournal of Urology, VOL. 138, NO. 2, (347-347), Online publication date: 1-Aug-1987.Skinner D (2018) Editorial CommentJournal of Urology, VOL. 138, NO. 2, (347-347), Online publication date: 1-Aug-1987.Tscholl R, Leisinger H and Hauri D (2018) The Ileal S-Pouch for Bladder Replacement After Cystectomy: Preliminary Report of 7 CasesJournal of Urology, VOL. 138, NO. 2, (344-347), Online publication date: 1-Aug-1987.Javadpour N (2018) Cystoprostatectomy for Bladder Cancer With Preservation of Potency and no StomaJournal of Urology, VOL. 136, NO. 6, (1377-1377), Online publication date: 1-Dec-1986. Volume 136Issue 1 Part 1July 1986Page: 17-26 Advertisement Copyright & Permissions© 1986 by The American Urological Association Education and Research, Inc.MetricsAuthor Information J.W. Thüroff More articles by this author P. Alken More articles by this author H. Riedmiller More articles by this author U. Engelmann More articles by this author G.H. Jacobi More articles by this author R. Hohenfellner More articles by this author Expand All Advertisement PDF downloadLoading ...