Biomaterial Database

The Mainz II pouch: experience in 5 patients with bladder exstrophy. 1999

G C Mingin, and J A Stock, and M K Hanna

Children's Hospital of New Jersey, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, USA.

OBJECTIVE We report our experience with 5 patients with bladder exstrophy who underwent creation of a Mainz II pouch. METHODS We retrospectively reviewed the results of the Mainz II pouch as a primary urinary diversion in 2 and a secondary urinary diversion in 3 patients. Each patient underwent multiple surgeries, including osteotomy in 1. All patients were followed postoperatively on a yearly basis. RESULTS All patients are continent and the upper urinary tract is stable. CONCLUSIONS The Mainz II pouch is appropriate for children born with a small fibrotic bladder, and as a salvage procedure for those who have endured multiple reconstructive procedures and remain incontinent. Furthermore, this procedure deserves serious consideration in children residing in developing countries.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D001746	Bladder Exstrophy	A birth defect in which the URINARY BLADDER is malformed and exposed, inside out, and protruded through the ABDOMINAL WALL. It is caused by closure defects involving the top front surface of the bladder, as well as the lower abdominal wall; SKIN; MUSCLES; and the pubic bone.	Bladder Extrophy,Exstrophy Of Bladder,Exstrophy of the Bladder,Urinary Bladder Exstrophy,Bladder Exstrophies,Bladder Extrophies,Exstrophies, Bladder,Exstrophies, Urinary Bladder,Exstrophy, Bladder,Exstrophy, Urinary Bladder,Extrophies, Bladder,Extrophy, Bladder,Urinary Bladder Exstrophies
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D002675	Child, Preschool	A child between the ages of 2 and 5.	Children, Preschool,Preschool Child,Preschool Children
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D013520	Urologic Surgical Procedures	Surgery performed on the urinary tract or its parts in the male or female. For surgery of the male genitalia, UROLOGIC SURGICAL PROCEDURES, MALE is available.	Procedure, Urologic Surgical,Procedures, Urologic Surgical,Surgical Procedure, Urologic,Surgical Procedures, Urologic,Urologic Surgical Procedure,Urological Surgical Procedures,Procedure, Urological Surgical,Procedures, Urological Surgical,Surgical Procedure, Urological,Surgical Procedures, Urological,Urological Surgical Procedure
D016476	Urinary Reservoirs, Continent	Structures which collect and store urine and are emptied by catheterization of a cutaneous stoma or internal diversion to the urethra. The reservoirs are surgically created during procedures for urinary diversion.	Colonic Urinary Reservoirs,Continent Urinary Reservoirs,Colonic Urinary Reservoir,Continent Urinary Reservoir,Reservoir, Colonic Urinary,Reservoir, Continent Urinary,Reservoirs, Colonic Urinary,Reservoirs, Continent Urinary,Urinary Reservoir, Colonic,Urinary Reservoir, Continent,Urinary Reservoirs, Colonic