Premium
Bladder Substitution with Ileocaecal (Mainz) Pouch Clinical Performance over 2 Years
Author(s) -
NARAYAN P.,
BRODERICK G. A.,
TANAGHO E. A.
Publication year - 1991
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1991.tb15221.x
Subject(s) - medicine , pouch , surgery , anastomosis , cystectomy , bladder stone , urinary system , bladder cancer , cancer
Summary— A series of 11 patients underwent ileocaecal bladder substitution (Mainz pouch) with urethral anastomosis after radical cystectomy and pelvic lymphadenectomy for moderate to high grade transitional cell carcinoma of the bladder. With 12 to 27 months of follow‐up (mean 18), 6 patients are voiding and are dry day and night with timed voidings; 4 patients continue intermittent catheterisation because of inability to perform the Valsalva manoeuvre adequately, and 1 has a suprapubic tube because of stricture of the enterourethral anastomosis. Upper tract studies revealed dilatation of 4 of 22 renal units and 1 patient required endourological intervention. Serum electrolyte studies revealed slightly elevated chloride levels in 6, mild hypocarbia in 3, and reduced vitamin B 12 levels in all patients, but no megaloblastic anaemia. The Mainz pouch appears to have very satisfactory short‐ and intermediate‐term results.