title: Modified ureterosigmoidostomy for management of malignant and non-malignant conditions.
abstract: OBJECTIVE
  To investigate the outcome of Mainz Pouch II urinary diversion for both malignant and non-malignant diseases.
  
  
  METHODS
  A retrospective analysis.
  
  
  METHODS
  Kilimanjaro Christian Medical Centre, Institute of Urology, Moshi, Tanzania from April 1995 to May 2007.
  
  
  METHODS
  Mainz Pouch II was created in 83 patients of which, 38 were females and 45 were males (M:F 1.2:1).
  
  
  RESULTS
  Early complications were seen in 11 (13.2%) patients, as follows: one (1.2%) prolonged ileus, 1(1.2%) wound dehiscence, two (2.4%) perioperative deaths among the malignant group, seven (8.4%) superficial wound sepsis. Long term complications were seen in 14 (16.9%) patients, as follows: one (1.2%) patient developed an incision hernia, one (1.2%) patient developed unilateral pyelonephritis, one (1.2%) patient developed unilateral ureteral stenosis, two (2.4%) patients had deterioration of renal function, three (3.6%) patients developed mild to moderate unilateral hydronephrosis, three (3.6%) patients developed mucoceles. Among the 83 patients in this series, three (3.6%) patients developed metabolic acidosis, two (2.4%) of which, required oral bicarbonate supplementation. All (100%) patients had daytime continence while three (3.6%) patients had occasional night time incontinence. Overall total continence was achieved in 80 (96.4%) of the patients.
  
  
  CONCLUSIONS
  The Mainz Pouch II is a safe and reproducible method of urinary diversion and serves as a satisfying method of continent urinary diversion in all age groups. This reconstructive surgery enabled the afflicted to achieve personal goals, hopes and aspirations, positively influencing their quality of life. The follow up show low complication rate with good results in terms of continence and quality of life, however, long term results remain to be evaluated.
authors.affiliation: Kilimanjaro Christian Medical Centre, P.O. Box 3010, Moshi, Tanzania.
authors.forename: K A
authors.initials: KA
authors.lastname: Mteta
authors.forename: A Y
authors.initials: AY
authors.lastname: Al-Ammary
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D012809:Colon, Sigmoid; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012189:Retrospective Studies; D016896:Treatment Outcome; D014515:Ureteral Diseases / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D014519:Ureterostomy / Q000295:instrumentation* / Q000379:methods; D014547:Urinary Diversion / Q000379:methods* / Q000523:psychology; D014571:Urologic Neoplasms / Q000473:pathology / Q000523:psychology / Q000601:surgery*; D055815:Young Adult