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

Seven years experience with the Mainz pouch procedure.

M Fisch1, R Wammack, R Hohenfellner

  • 1University of Mainz School of Medicine, Germany.

Archivos Espanoles De Urologia
|March 1, 1992
PubMed
Summary

The Mainz pouch procedure, a continent urinary diversion using cecum and ileum, demonstrates high continence rates for bladder augmentation and substitution. Refinements have reduced complications like stone formation and stomal stenosis.

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

Long-term functional success and patient-reported outcomes after female one-stage buccal mucosal graft urethroplasty.

Actas urologicas espanolas·2024
Same author

[Shaping the future together].

Urologie (Heidelberg, Germany)·2022
Same author

[Reconstructive urology].

Der Urologe. Ausg. A·2020
Same author

[Vesicovaginal fistulas: diagnosis and surgical management].

Der Urologe. Ausg. A·2020
Same author

Vesico-urethral anastomotic stenosis following radical prostatectomy: a multi-institutional outcome analysis with a focus on endoscopic approach, surgical sequence, and the impact of radiation therapy.

World journal of urology·2020
Same author

[Fistula surgery].

Der Urologe. Ausg. A·2020

Area of Science:

  • Urology
  • Surgical Techniques
  • Reconstructive Surgery

Background:

  • Continent urinary diversion is crucial for patients requiring bladder removal or augmentation.
  • The Mainz pouch procedure was developed in 1983 as a continent urinary diversion technique.
  • This procedure utilizes segments of the cecum and ileum to create a urinary reservoir.

Purpose of the Study:

  • To evaluate the efficacy and complication rates of the Mainz pouch procedure.
  • To assess the long-term outcomes of bladder augmentation and substitution using the Mainz pouch.
  • To report on the surgical techniques and modifications for continent urinary diversion.

Main Methods:

  • The Mainz pouch procedure involves isolating and detubularizing segments of the cecum, ascending colon, and ileum.

Related Experiment Videos

  • Ureters are implanted using an open-end technique with a submucosal tunnel for antireflux.
  • The pouch is anastomosed to the bladder remnant for augmentation or to the urethra for substitution, with an ileal nipple or appendix for continence.

    • Main Results:

    • A total of 281 patients underwent the procedure: 54 for augmentation, 7 for replacement, and 200 for diversion.
    • Early and late complication rates were 5.3% and 22.4%, respectively, with common issues being stone formation and stomal stenosis.
    • High continence rates were reported: 52/54 for augmentation and all 27 for substitution during the day, with nighttime leakage in 3/27.

    Conclusions:

    • The Mainz pouch procedure is an effective method for continent urinary diversion, bladder augmentation, and substitution.
    • Surgical modifications, including stapled nipple fixation and appendix use, have improved continence and reduced revision rates.
    • Standardized techniques for managing complications have been developed, enhancing the procedure's reliability.