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Treatment of iatrogenic functional or morphologic bladder loss
M Stöckle1, J W Thüroff, H Riedmiller
1Department of Urology, Medical School, University of Mainz, Federal Republic of Germany.
Journal of Pediatric Surgery
|February 1, 1988
Summary
Ileocecal cystoplasty (Mainz-pouch technique) effectively restored bladder function in six pediatric patients with iatrogenic bladder loss. The procedure resulted in complete continence for most, enabling natural voiding without residual urine.
Area of Science:
- Pediatric Urology
- Surgical Reconstruction
- Bladder Augmentation
Background:
- Iatrogenic bladder loss in children necessitates reconstructive surgery.
- Indications include incontinence and upper urinary tract compromise.
- Previous urinary diversion methods were considered.
Observation:
- Six children (4-13 years) underwent ileocecal cystoplasty (Mainz-pouch technique).
- Reasons included functional/morphologic bladder loss, incontinence, or reflux.
- Two patients had prior sigmoid conduit diversion.
Findings:
- Five of six children achieved complete urinary continence post-operation.
- One boy experienced decreasing nocturnal enuresis due to sphincter weakness.
- All patients could void augmented bladders without residual urine.
Implications:
- Ileocecal cystoplasty is a viable option for pediatric bladder reconstruction.
- The Mainz-pouch technique demonstrates good functional outcomes.
- Successful voiding and continence improve quality of life.