Modified ureterosigmoidostomy (Mainz II): a long-term follow-up

摘要: OBJECTIVETo assess the long-term results in patients treated using a modified ureterosigmoidostomy (Mainz II).PATIENTS AND METHODSBetween 1994 and 1999, 17 had their lower urinary tract reconstructed by ureterosigmoidostomy, reconfiguring rectum to make low-pressure reservoir II). All were followed on standard protocol. Data extracted from database review of case-notes. In 12 procedure was with radical cystectomy for carcinoma. Five failed conventional bladder exstrophy therefore proceeded Mainz II. The data continence complications retrieved retrospective analysis; mean (range) follow-up 6.4 (4-8.6) years.RESULTSTen those cancer one revision group continent. Two sufficiently severe nocturnal incontinence require conversion colonic conduit. Seven hyperchloraemic acidosis, pyelonephritis renal stones. There no anastomotic neoplasms.CONCLUSIONThe II has good outcome if used as primary procedure. an existing who are incontinent, detubularization rectosigmoid alone is unlikely restore continence.