Continent urinary diversion using the Mainz-type ureterosigmoidostomy--a valuable salvage procedure.
OBJECTIVE
To review the indications and outcome of patients undergoing a Mainz-type ureterosigmoidostomy.


METHODS
Fourteen patients who had lost or were about to lose their urethra and sphincter mechanism underwent this operation to provide a continent urinary diversion. Patients had a minimum follow-up of 2 years.


RESULTS
There were no significant postoperative complications. Three patients have died from recurrent malignant disease. All patients were continent.


CONCLUSIONS
The Mainz-type ureterosigmoidostomy is a useful technique in situations where orthotopic reconstruction is not possible. Incontinence and reflux do not occur with this detubularized pouch.
Venn
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Institute of Urology, London, UK.
Mundy
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AR
D000328:Adult; D000714:Anastomosis, Surgical; D002648:Child; D012809:Colon, Sigmoid / Q000601:surgery; D005069:Evaluation Studies as Topic; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D016879:Salvage Therapy; D015996:Survival Rate; D016896:Treatment Outcome; D014519:Ureterostomy / Q000379:methods; D014547:Urinary Diversion / Q000379:methods*; D014549:Urinary Incontinence / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D016476:Urinary Reservoirs, Continent