title: The Mainz II pouch: experience in 5 patients with bladder exstrophy.
abstract: 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.
authors.affiliation: Children's Hospital of New Jersey, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, USA.
authors.forename: G C
authors.initials: GC
authors.lastname: Mingin
authors.forename: J A
authors.initials: JA
authors.lastname: Stock
authors.forename: M K
authors.initials: MK
authors.lastname: Hanna
mesh_terms: 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*