Urinary Diversion for Incontinence in Women

Natarajan, Vasanthi; Singh, G.

doi:10.1007/s001920070046

Cited by 5 publications

(5 citation statements)

References 71 publications

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“…Beside this flap‐valve mechanism, ileocaecal valve plications, intussuscepted nipples, and/or hydraulic valves (i.e. Benchekroun nipple) serve as continence mechanism in different types of urinary diversion [3,13]. The overall continence rates for most of these reservoirs is ≈90%, although ‘continence’ is not clearly defined.…”

Section: Discussionmentioning

confidence: 99%

“…The continence rate of the Kock pouch was reported to be 77–89%, of the Florida pouch ≈93%, and of the Benchekroun system ≈93%. Continence rates in larger series using the Mitrofanoff principle are 91–100%[3,10,11,14].…”

Section: Discussionmentioning

confidence: 99%

“…It has long been established that detubularization of the bowel segment results in the formation of a spherical reservoir with a combination of low intrapouch pressure and the largest geometric capacity. These two features are important for the optimum functional outcome of the pouch in achieving continence and minimizing ureteric reflux [3].…”

Section: Introductionmentioning

confidence: 99%

“…Some prefer to use ileum (i.e. Kock, T‐pouches), others the ileo‐caecum (Mainz I, Penn, Indiana, Lund, Lundina, Miami, Florida pouches), or colon (Mainz III pouch) [3–13]. The larger diameter of the colon gives a higher capacity than ileum when the same length is used to create the reservoir.…”

Section: Introductionmentioning

confidence: 99%

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Colon pouch (Mainz III) for continent urinary diversion

et al. 2007

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Authors from Germany present data on the Mainz III pouch, where a colon segment is used. The results were very encouraging, with excellent continence rates. They suggest that this technique of continent urinary diversion should be considered as a suitable alternative to other methods. OBJECTIVE To evaluate the use of a continent cutaneous pouch made exclusively of colon (Mainz pouch III), as excellent results with the Mainz pouch III in irradiated patients suggested that the indication for this type of urinary diversion could be extended. PATIENTS AND METHODS The outcome of 24 patients with continent cutaneous urinary diversions using colon segments (Mainz pouch III) was investigated retrospectively. Overall, 22 of the patients had a malignant disease and two a benign disease; 16 had a hysterectomy and pelvic exenteration for gynaecological tumours; two men with a rhabdomyosarcoma of the prostate had a radical cystoprostatectomy; one woman had pelvic exenteration for bladder cancer; one man had a simultaneous rectum resection due to infiltrating rectal cancer, and another a left nephrectomy with cystectomy for concomitant kidney and bladder tumour. Benign indications were hyper‐reflexive bladder after polytrauma and two cases of neurogenic bladder dysfunction. Eighteen patients had radiotherapy (32–48 Gy) before the urinary diversion. RESULTS The mean (range) follow‐up was 35 (12–65) months. The mean pouch capacity was 293.8 mL. Three patients died during the follow‐up (two from disease progression and one suicide); 20 patients were fully continent, four with reduced pouch capacity (<300 mL) had slight incontinence and are wearing a protective pad (band‐aid at the umbilicus). All patients use intermittent self‐catheterization (mean catheterization frequency 6.8/day, range 6–12). Complications related to the pouch were one outlet stenosis that required revision. Postoperative pouchograms showed asymptomatic reflux in four patients. None of the patients developed metabolic acidosis or diarrhoea. CONCLUSIONS The Mainz pouch III is an alternative to other types of continent urinary diversion

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Colon pouch (Mainz III) for continent urinary diversion

et al. 2007

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“…Selected patients with intractable symptoms who are unsuitable for augmentation or neuromodulation/denervation may be managed by urinary diversion [23]. This can be performed by the construction of an ileal or colonic conduit or, more simply, the bladder can be continuously drained with a suprapubic catheter.…”

Section: Urinary Diversionmentioning

confidence: 99%

Current and future trends in the management of overactive bladder

et al. 2006

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Urinary incontinence is a common problem which increases in prevalence in association with advancing age and has a significant adverse effect upon well-being and quality of life. It is not the "benign" condition that many take it for. Overactive bladder (frequency-urgency syndrome) is the commonest bladder problem in late life, affecting up to 41% of over-75-year-old individuals, and the elderly experience more severe disease. This small series should provide the reader with a comprehensive overview of the current thinking in the assessment and management of patients with overactive bladder syndrome, explores the history of the condition and current approaches to its medical and surgical management and explores where management may change in more complex populations. The current state and future developments in pharmacological therapy are also outlined.

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Surgery for Urge Urinary Incontinence: Cystoplasty, Diversion

Sountoulides¹,

Laguna

2009

Continence

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Urinary Diversion for Incontinence in Women

Cited by 5 publications

References 71 publications

Colon pouch (Mainz III) for continent urinary diversion

Colon pouch (Mainz III) for continent urinary diversion

Current and future trends in the management of overactive bladder

Surgery for Urge Urinary Incontinence: Cystoplasty, Diversion

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