The Mainz Pouch for Continent Urinary Diversion, Bladder Substitution and Augmentation

  • U. Engelmann
  • J. W. Thüroff
  • P. Alken
  • G. H. Jacobi
  • H. Riedmiller
  • R. Hohenfellner
Part of the Clinical Practice in Urology book series (PRACTICE UROLOG)

Abstract

The work of Kock and his associates on continent ileostomies (Kock 1973) and later on the application of their continent ileal pouch for continent urinary diversion has stimulated considerable interest in this field. A variety of procedures were investigated experimentally and were clinically applied for bladder augmentation, substitution or for continent diversion. It soon became evident that urinary reservoirs constructed from isolated bowel segments should fulfill the following criteria:
  1. 1.

    Adequate storage capacity and compliance.

     
  2. 2.

    A low pressure system without excessively high pressures caused by peristaltic contraction waves.

     
  3. 3.

    A reliable method of antirefluxive ureter implantation.

     

Keywords

Catheter Creatinine Assure Dexon Perforation 

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References

  1. Carney M (1985) Bladder replacement by ileocystoplasty following radical cystectomy. World J Urol 3: 161–166CrossRefGoogle Scholar
  2. Goldwasser B, Webster GD (1986) Augmentation and substitution enterocystoplasty. J Urol 135: 215–224PubMedGoogle Scholar
  3. Gonzalez R, Sidi AA, Zhang G (1986) Urinary undiversion: indications, technique and results in 50 cases. J Urol 136: 13–16PubMedGoogle Scholar
  4. Kock NG (1973) Continent ileostomy. Prog Surg 12: 180–201PubMedGoogle Scholar
  5. Kock NG (1986) Urinary diversion via a continent ileal reservoir (Kock pouch) (John K. Lattimer Lecture). In: Proceedings of the 79th annual meeting of the AUA, Anaheim, 6–10 May 1986Google Scholar
  6. Kock NG, Nilson AE, Nilsson LO, Norlén J, Philipson BM (1982) Urinary diversion via a continent ileal reservoir: clinical results in 12 patients. J Urol 128: 469–475PubMedGoogle Scholar
  7. Kock NG, Norlén L, Philipson BM, Åkerlund ST (1985) The continent ileal reservoir (Kock pouch) for urinary diversion. World J Urol 3: 146–151CrossRefGoogle Scholar
  8. Mânsson W, Colleen S, Sundin T (1984) Continent caecal reservoir in urinary diversion. Br J Urol 56: 359–365PubMedCrossRefGoogle Scholar
  9. Mitchell ME, Kulb T, Backes DJ (1986) Intestinocystoplasty in combination with clean intermittent catheterization in the management of vesical dysfunction. J Urol 136: 288–291PubMedGoogle Scholar
  10. Mundy AR, Stephenson TP (1985) “Clam” ileocystoplasty for the treatment of refractory urge incontinence. Proceedings of the 15th annual meeting of the International Continence Society, London, 3–6 September 1985, pp 276–277Google Scholar
  11. Riedmiller H, Becht E, Hertie L, Jacobi G, Hohenfellner R (1984) Psoas-hitch ureteroneocystostomy: experience with 181 cases. Eur Urol 10: 145–150PubMedGoogle Scholar
  12. Rowland RG (1986) Continent urinary diversion. J Urol 136: 76PubMedGoogle Scholar
  13. Sidi AA, Reinberg Y, Gonzalez R (1986) Influence of intestinal segment and configuration on the outcome of augmentation enterocystoplasty. J Urol 136: 1201–1204PubMedGoogle Scholar
  14. Skinner DG, Boyd StD, Lieskovsky G (1984) Clinical experience with the Kock continent ileal reservoir for urinary diversion. J Urol 132: 1101–1107PubMedGoogle Scholar
  15. Thüroff JW, Alken P, Engelmann U, Riedmiller H, Jacobi GH, Hohenfellner R (1985) Der Mainz-Pouch zur Blasenerweiterungsplastik und kontinenten Harnableitung. Aktuel Urol 16: 1–10CrossRefGoogle Scholar
  16. Thüroff JW, Alken P et al. (1986) The Mainz pouch (mixed augmentation ileum and cecum) for bladder augmentation and continent diversion. J Urol 136: 17–26PubMedGoogle Scholar
  17. Wilbert DM, Hohenfellner R (1984) Colonic conduit, preoperative requirements, operative technique, postoperative management. World J Urol 2: 159–164CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • U. Engelmann
  • J. W. Thüroff
  • P. Alken
  • G. H. Jacobi
  • H. Riedmiller
  • R. Hohenfellner

There are no affiliations available

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