PMID: 11321503Apr 26, 2001Paper

Preliminary experience with Mainz type II pouch in gynecologic oncology patients

European Journal of Gynaecological Oncology
I K El-Lamie

Abstract

To evaluate the Mainz low-pressure modification of ureterosigmoidostomy with extramural serous-lined ureterointestinal anastomosis as a method of urinary diversion in gynecologic patients undergoing anterior pelvic exenteration. Between December 1995 and September 1998, Mainz type II pouch was performed in 11 patients aged between 27-70 years (mean 58.5). Four were diagnosed with cervical cancer (2 stage IV A and 2 central recurrences following radical hysterectomy done elsewhere), two with stage III bilharzial bladder cancer, two with urethral cancer (one stage III and one recurrent following surgery done elsewhere), one with stage IV A endometrial cancer, one with stage IV A vaginal cancer complicating long standing incarcerated total procidentia and lastly one patient with refractory obstetric vesicovaginal fistula with almost total loss of the upper urethra, bladder neck and base. All patients were followed closely and particular complications related to the diversion were recorded as acid-base imbalance, renal impairment and incontinence. The pouch construction with anterior exenteration took an average of 242 min (150-330). There were two postoperative deaths due to pulmonary embolism and pneumonia both being related to t...Continue Reading

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