The Mainz II pouch: experience in 5 patients with bladder exstrophy.
OBJECTIVE
We report our experience with 5 patients with bladder exstrophy who underwent creation of a Mainz II pouch.


METHODS
We retrospectively reviewed the results of the Mainz II pouch as a primary urinary diversion in 2 and a secondary urinary diversion in 3 patients. Each patient underwent multiple surgeries, including osteotomy in 1. All patients were followed postoperatively on a yearly basis.


RESULTS
All patients are continent and the upper urinary tract is stable.


CONCLUSIONS
The Mainz II pouch is appropriate for children born with a small fibrotic bladder, and as a salvage procedure for those who have endured multiple reconstructive procedures and remain incontinent. Furthermore, this procedure deserves serious consideration in children residing in developing countries.
Mingin
G C
GC
Children's Hospital of New Jersey, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, USA.
Stock
J A
JA
Hanna
M K
MK
D000328:Adult; D001746:Bladder Exstrophy / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D016476:Urinary Reservoirs, Continent; D013520:Urologic Surgical Procedures / Q000379:methods*