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Serosa‐lined and tapered ileum as primary and secondary continence mechanism for various catheterizable pouches
Author(s) -
Kälble Tilman,
Anheuser Petra,
Steffens Joachim
Publication year - 2012
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2012.11248.x
Subject(s) - medicine , pouch , surgery , ileum , urinary continence , anastomosis , bladder augmentation , stenosis , neck of urinary bladder , appendix , urinary diversion , urinary bladder , prostatectomy , cystectomy , prostate , bladder cancer , paleontology , cancer , biology
The Mitrofanoff principle was introduced by Riedmiller et al . [ 1 ] with the Mainz-Pouch-1 procedure in 1990. The method is commonly accepted and used as a reliable continence mechanism for catheterizable pouches [ 2 ] . However, there is little consensus about other options for the efferent segment, which has the greatest infl uence on patient satisfaction [ 3 ] . Flap and nipple valves are mostly used, and continence rates are generally high [ 3 ] . The two main problems with continent catheterizable stomas are stenosis and leakage. Stimulated by Abol-Enein et al . [ 4 ] , K ä lble and Roth [ 5 ] used serosa-lined and tapered ileum embedded in a short segment of ileum as troubleshooting for incontinence. The procedure was established for cases with an absent or unsuitable appendix for Mainz pouch and in cases of a failed continence mechanism without the possibility of using the ileocaecal valve with a secondary ileal intussusception nipple [ 5 ] .