Continent urinary diversion using the Mainz-type ureterosigmoidostomy--a valuable salvage procedure.
case_series · Level IV
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Abstract
To review the indications and outcome of patients undergoing a Mainz-type ureterosigmoidostomy. 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. There were no significant postoperative complications. Three patients have died from recurrent malignant disease. All patients were continent. 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.
Medical subject headings
- Urinary Diversion
- Urinary Incontinence
- Urinary Reservoirs, Continent