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Continent urinary diversion using the Mainz-type ureterosigmoidostomy--a valuable salvage procedure
European Urology
|August 18, 1999
Abstract
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.