title: A modified Mainz II pouch technique for management of refractory vesicovaginal fistulas: patient focused outcomes.
abstract: OBJECTIVE
  To follow-up the quality of life outcomes in 2 women who underwent a modified Mainz II pouch procedure for refractory vesicovaginal fistulas.
  
  
  METHODS
  Two Nigerian patients were located after undergoing a modified Mainz II pouch procedure. They were interviewed 1-2 years postprocedure regarding subsequent sexual function, pregnancy outcomes, and daily life.
  
  
  RESULTS
  After undergoing the procedure the patients had resumed sexual function, had become pregnant, and had delivered viable neonates. They were also able to provide for their families.
  
  
  CONCLUSIONS
  A urinary diversion procedure for management of refractory vesicovaginal fistula can restore quality of life.
authors: Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL, USA.
authors: Andy M
authors: AM
authors: Norman
authors: Kimberly A
authors: KA
authors: Gerten
authors: Jilani
authors: J
authors: Ibrahim
authors: Holly E
authors: HE
authors: Richter
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D009549:Nigeria; D011247:Pregnancy; D011788:Quality of Life; D012008:Recurrence; D016896:Treatment Outcome; D014547:Urinary Diversion / Q000379:methods*; D014719:Vesicovaginal Fistula / Q000601:surgery*