OBJECTIVES: To review the indications and outcome of patients undergoing a Mainz-type ureterosigmoidostomy. PATIENTS AND METHODS: Fourteen patients who had lost or were about to lose their urethra and sphincter mechanism underwent this operation to provide a continent urinary diversion. Patients had a minimum follow-up of 2 years. RESULTS: There were no significant postoperative complications. Three patients have died from recurrent malignant disease. All patients were continent. CONCLUSION: The Mainz-type ureterosigmoidostomy is a useful technique in situations where orthotopic reconstruction is not possible. Incontinence and reflux do not occur with this detubularized pouch.
OBJECTIVES: To review the indications and outcome of patients undergoing a Mainz-type ureterosigmoidostomy. PATIENTS AND METHODS: Fourteen patients who had lost or were about to lose their urethra and sphincter mechanism underwent this operation to provide a continent urinary diversion. Patients had a minimum follow-up of 2 years. RESULTS: There were no significant postoperative complications. Three patients have died from recurrent malignant disease. All patients were continent. CONCLUSION: The Mainz-type ureterosigmoidostomy is a useful technique in situations where orthotopic reconstruction is not possible. Incontinence and reflux do not occur with this detubularized pouch.
Authors: P J Bastian; P Albers; H Hanitzsch; G Fabrizi; R Casadei; A Haferkamp; S Schumacher; S C Müller Journal: Urologe A Date: 2004-08 Impact factor: 0.639