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[The rectosigmoid pouch. The Mainz pouch II. Apropos of 73 cases]
M Fisch1, C Mappes, U Klinkowski
1Urologische Klinik und Poliklinik der Johannes Gutenberg-Universität Mainz, Allemagne.
Annales D'Urologie
|January 1, 1995
Summary
The Mainz Pouch II offers a novel surgical technique for creating a low-pressure urine reservoir without bowel connections. This method aims to prevent ureteral kinking and upper tract dilation, improving patient outcomes.
Area of Science:
- Urology
- Surgical Innovation
- Gastrointestinal Surgery
Context:
- Management of lower urinary tract dysfunction often requires urinary diversion.
- Existing techniques may carry risks of complications such as bowel anastomosis issues and ureteral obstruction.
Purpose:
- To describe the surgical technique and rationale for the Mainz Pouch II.
- To highlight the advantages of avoiding bowel anastomosis in urinary reservoir creation.
Summary:
- The Mainz Pouch II is a low-pressure rectosigmoid urine reservoir created without bowel anastomosis.
- It involves an antimesenteric opening of the intestine and a wide-to-side anastomosis.
- Pouch fixation at the promontory or psoas muscle prevents ureteral kinking and upper tract dilation.
Impact:
- Potential to reduce complications associated with bowel anastomosis in urinary diversion.
- Aims to improve outcomes by preventing ureteral complications and preserving upper urinary tract function.