scholarly journals Sigma-rectum pouch (Mainz Pouch II)

2014 ◽  
Vol 61 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Jovan Hadzi-Djokic ◽  
Bogomir Milojevic ◽  
Tomislav Pejcic ◽  
Miodrag Acimovic ◽  
Vladimir Stamenkovic ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Diversion ◽  
Upper Urinary Tract ◽  
Continent Urinary Diversion ◽  
The Past ◽  
Life Evaluation ◽  
Mainz Pouch Ii ◽  
Continence Rate

The Mainz pouch II is a well tolerated form of continent urinary diversion in terms of morbidity, protection of the upper urinary tract and continence rate, even in patients aged >65 years. Mainz pouch II was described by Fisch and Hohenfellner in 1991. They viewed the simplicity and reproducibility of the operation as one of its major advantages. A good continence rates between 93%-100% after this procedure has been shown in previous studies. The longer follow up will show whether these high rates of continence can be maintained with increasing age. The Mainz Pouch II serves as a satisfying continent urinary diversion for both sexes in selected patients in terms of quality of life. Evaluation of overall quality of life in patients with Mainz pouch II urinary derivation has given encouraging results. Compliance and cooperation of the patients, together with preoperative tests for anal competence, are mandatory to avoid complications. The Mainz group reported that the overall complication rate was low and comparable with other techniques of continent urinary diversion. During the past years modifications of the original technique have been described. These represent an increasing interest in the procedure. Today, the techniques of low-pressure and reservoirs have completely replaced classical ureterosigmoidostomy. In this review article the main focus is aimed at history, complications, continence and quality of life of patients with Mainz pouch II.

Health-Related Quality-of-Life Following Modified Ureterosigmoidostomy (Mainz Pouch II) as Continent Urinary Diversion

2004 ◽  
Vol 46 (5) ◽  
pp. 591-597 ◽  
Author(s):  
Patrick J. Bastian ◽  
Peter Albers ◽  
Herbert Hanitzsch ◽  
Giancarlo Fabrizi ◽  
Romano Casadei ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Diversion ◽  
Continent Urinary Diversion ◽  
Health Related Quality ◽  
Related Quality ◽  
Mainz Pouch Ii ◽  
Health Related

scholarly journals Modified Mainz Pouch II (sigma rectum pouch) urinary diversion: 12 years experience

2007 ◽  
Vol 54 (4) ◽  
pp. 73-77 ◽  
Author(s):  
I. Ignjatovic ◽  
D. Basic
Keyword(s):  
Quality Of Life ◽  
Postoperative Complications ◽  
Urinary Diversion ◽  
Life Quality ◽  
Late Complications ◽  
Anastomotic Site ◽  
Mainz Pouch Ii ◽  
The Mean

Objective: To analyze the outcome of Mainz Pouch II urinary diversion related to complications and life quality. Patients and Methods: From 1995 to 2006, a total of 67 patients (60 male and 7 female, mean age 58.4 years, range 48 to 70) who underwent modified ureterosigmoidostomy (Mainz Pouch II) procedure have been retrospectively analyzed. The mean follow-up was 18 (1 - 72) months and it was available for 56 patients (84%). Early and late postoperative complications as well as quality of life after surgery were analyzed. An clinical questionairre has been used for examination specific urinary diversion items. Results: Early postoperative complications (<30 days) we-re detected in 9 patients (13%) and late complications (>30 days) in 19 patients (28%). Early complications consisted of urine leakage of moderate degree in 5 (7%) and ileus requiring surgical revision in 4 (6%) patients. The late complications included acute pyelonephritis in 12 patients (18%) and uretero-sigmoidal anastomotic site stenosis in 7 (11%). Ureterosigmoidal anastomotic site stenosis was detected in 7 patients with 7 renoureteric units (RU). In 4 RU, metal Strecker stent was successfully applied. In 3 RU, permanent nephrostomy catheter was applied. Oral alkalizing agents were applied in 22 patients (33%) due to metabolic acidosis. Two patients died due to severe acidosis. Continent rate was 96%. The mean voiding frequency during the day and night was 5.2+1.8 and 2.7+ 0.5, respectively. Global life quality was bad for 3 (8%), acceptable for 15 (38%) and good for 22 (54%) patients. Conclusion: The Mainz Pouch II urinary diversion is simple and safe procedure regarding complications rate, continence and quality of life. It is good alternative to other forms of continent urinary diversion. Patient selection and compliance following by meticulous follow-up are of utmost importance for successful operative outcome.

Ileal Conduit and Continent Ileocecal Pouch for Patients Undergoing Pelvic Exenteration: Comparison of Complications and Quality of Life

2011 ◽  
Vol 21 (2) ◽  
pp. 403-408 ◽  
Author(s):  
Dirk Michael Forner ◽  
Björn Lampe
Keyword(s):  
Quality Of Life ◽  
Urinary Diversion ◽  
Pelvic Exenteration ◽  
Ileal Conduit ◽  
Short Form ◽  
Complication Rates ◽  
Stomal Complications ◽  
Short Form Health

Objectives:Creating a continent urinary pouch has become an alternative to the ileal conduit for patients undergoing exenteration for advanced gynecologic malignancies. The objective of this study was to compare clinical outcomes for the 2 methods.Methods:In this retrospective study, we compared intraoperative and postoperative complications and quality-of-life scores for the modified ileocecal pouch and the ileal conduit in anterior or total pelvic exenteration.Results:In 33 of 100 patients, an ileal pouch (IP) was created; the other 67 were treated by an ileal conduit (IC). Creating an IP prolonged the exenterative procedure by 97 minutes compared to an IC (IC, 453 minutes vs IP, 550 minutes;P= 0.009). Overall complication rates were similar, but patients with an IP had significantly more complications of urinary diversion (48%) than patients with an IC (31%;P= 0.03). Follow-up showed urinary loss and frequency of micturition to be comparable, but in patients with an IP, surgery for stomal complications (n = 2) and treatment of bladderstones were necessary more frequently (n = 3). Quality of life according to the 12-item Short Form Health Survey questionnaire was similar in both groups.Conclusion:A continent IP is an alternative to the IC in cases of pelvic exenteration. Early complications are more frequent with an IP than with an IC. The mode of urinary diversion has little influence on the quality of life in patients with advanced genital cancer.

scholarly journals A retrospective analysis of early experience with modified complete primary repair of exstrophy bladder (CPRE) in neonates and children

2013 ◽  
Vol 46 (03) ◽  
pp. 549-554 ◽  
Author(s):  
Santosh B. Kurbet ◽  
Gowda P. Prashanth ◽  
Mahantesh V. Patil ◽  
Shivaji Mane
Keyword(s):  
Quality Of Life ◽  
Primary Repair ◽  
Bladder Exstrophy ◽  
Psychosocial Impact ◽  
Quality Of Life Inventory ◽  
Pedsql 4.0 ◽  
Continence Rate ◽  
Good Cosmesis

ABSTRACT Objective: To study the problems faced during the surgery and follow-up of modified complete primary repair of exstrophy (CPRE) technique. Initial experience with CPRE and its short- and long-term outcomes with respect to continence status and psychosocial impact are reported. Materials and Methods: A retrospective review of the hospital case records from March 2008 to September 2012 was performed. Data of patients with bladder exstrophy managed by a single paediatric surgeon using modified CPRE technique were analysed. Quality of life and psychosocial impact of the surgery were assessed using Pediatric Quality of Life Inventory (PedsQL 4.0) and compared with those of typical peers. Results: Eight children (age 4 days-12 years) underwent CPRE using modified Mitchell′s technique. Two patients (25%) experienced early postoperative complications, with infection and fistula developing in one each. All the patients were doing well on follow-up, with variable continence rates and good cosmesis. Mean duration of follow-up was 18.5 months (range 6 months-4 years). Five out of seven (71%) children were continent or partially continent. One case was lost to follow-up. PedsQL scores were comparable with those of age-matched peers in all domains except the social functioning domain in 8-12 years age group (83.53 ± 9.70 vs. 77.86 ± 10.22, P < 0.05). Conclusion: Our preliminary results with modified CPRE in neonates and children have been encouraging. No major complications were observed. Continence rate was satisfactory and cosmetic results were good. Though the technique is being practiced at several Indian centres, there is a paucity of comprehensive Indian data on CPRE.

Quality of Life Survey of Urinary Diversion Patients: Comparison of Continent Urinary Diversion Versus Ileal Conduit

1997 ◽  
Vol 4 (1) ◽  
pp. 26-31 ◽  
Author(s):  
Yusaku Okada ◽  
Kenji Oishi ◽  
Yasumasa Shichiri ◽  
Yoshiyuki Kakehi ◽  
Akikazu Hamaguchi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Diversion ◽  
Ileal Conduit ◽  
Continent Urinary Diversion

Quality of Life and Health in Patients with Urinary Diversion: A Comparison of Incontinent versus Continent Urinary Diversion

1997 ◽  
Vol 32 (1) ◽  
pp. 23-29 ◽  
Author(s):  
Dragana Filipas ◽  
Ulrich T. Egle ◽  
Christiane Büdenbender ◽  
Margit Fisch ◽  
Jan Fichtner ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Diversion ◽  
Continent Urinary Diversion

Perinatal outcome and referral age

PEDIATRICS ◽  
1975 ◽  
Vol 56 (2) ◽  
pp. 160-160
Author(s):  
George Cassady
Keyword(s):  
Quality Of Life ◽  
Blood Sugar ◽  
Premature Infants ◽  
Perinatal Outcome ◽  
Attrition Rate ◽  
Control Group ◽  
The Past ◽  
New Knowledge

During the past decade, prompt application of new knowledge of perinatal pathophysiology has dramatically improved the quality of life for surviving tiny premature infants. The results of prompt correction and, when possible, prevention of such potent interrelated insults as hypoglycemia, asphyxia, hyperoxia, jaundice, shock, thirsting, and starvation have led the more optimistic of us to expect the virtual disappearance of neurologic residua, previously considered the unavoidable legacy of surviving premature infants. In contrast, the data reported by Fitzhardinge in this issue1 serve as an important warning that all may not be well with these babies. Certain flaws in this report—the 16% attrition rate (no follow-up), the inadequate description of the control group (no control DQ's), and the failure to objectively document such measureable influences on outcome as serum unconjugated bilirubin, serum osmolality, blood sugar, and Po2 and Pco2—should caution the reader to accept these findings only with liberal "grains of salt."

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