Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Mainz Pouch II technique: 10 years' experience.

G D'elia1, S Pahernik, M Fisch

  • 1Department of Urology, Mainz University Medical School, Mainz, Germany.

BJU International
|May 15, 2004
PubMed
Summary

The Mainz Pouch II procedure offers excellent continence and upper urinary tract preservation for urinary diversion. This reliable technique provides a viable alternative for selected patients needing continent urinary diversion.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Robot-Assisted Transvesical Enucleation of Benign Prostatic Hyperplasia: Lessons from a Single Surgeon's Learning Curve.

Urology practice·2023
Same author

Surgical treatment of large volume prostates: a matched pair analysis comparing the open, endoscopic (ThuVEP) and robotic approach.

World journal of urology·2018
Same author

Long-term results of ProACT primary and repeat implantation for treatment of stress urinary incontinence in men.

World journal of urology·2018
Same author

Survival outcomes in patients with large (≥7cm) clear cell renal cell carcinomas treated with nephron-sparing surgery versus radical nephrectomy: Results of a multicenter cohort with long-term follow-up.

PloS one·2018
Same author

[Long-term results after robot-assisted adenoma enucleation].

Der Urologe. Ausg. A·2016
Same author

Bowel function in patients with urinary diversion: a gender-matched comparison of continent urinary diversion with the ileocecal pouch and ileal conduit.

World journal of urology·2016

Area of Science:

  • Urology
  • Surgical Oncology
  • Reconstructive Surgery

Background:

  • Urinary diversion is necessary for various conditions including bladder cancer and congenital abnormalities.
  • Traditional ureterosigmoidostomy can lead to complications such as upper tract deterioration and poor continence.
  • The Mainz Pouch II procedure was developed to improve outcomes in patients requiring continent urinary diversion.

Purpose of the Study:

  • To evaluate the long-term efficacy and safety of the Mainz Pouch II ureterosigmoidostomy.
  • To assess continence rates, upper urinary tract preservation, and complication rates associated with the procedure.

Main Methods:

  • A retrospective analysis of 123 patients who underwent the Mainz Pouch II procedure between 1990 and 2000.
  • Indications included bladder cancer (92), bladder exstrophy/epispadias (26), urethral loss (4), and cloacal malformation (1).

Related Experiment Videos

  • 102 patients with over 12 months of follow-up (mean 46.2 months) were included in the analysis.

    • Main Results:

    • High rates of day-time (97%) and night-time (95%) continence were achieved.
    • Ureteric implantation stenosis occurred in 7.2% of units, successfully treated with open repair or balloon dilation.
    • Metabolic disturbances, primarily hyperchloraemic acidosis, were managed with oral alkalinizing agents in 69% of patients, with no clinically evident acidosis.

    Conclusions:

    • The Mainz Pouch II procedure, utilizing detubularization and specific ureteric implantation techniques, provides superior continence and upper tract protection compared to classical ureterosigmoidostomy.
    • The technique is simple, reliable, and a viable option for continent urinary diversion in selected patient populations.
    • Long-term results demonstrate the procedure's effectiveness in preserving renal function and achieving patient satisfaction.