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Continent Catheterizable Pouches for Urinary Diversion

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Presentation on theme: "Continent Catheterizable Pouches for Urinary Diversion"— Presentation transcript:

1 Continent Catheterizable Pouches for Urinary Diversion
Michael Rink, Luis Kluth, Eike Eichelberg, Margit Fisch, Roland Dahlem  European Urology Supplements  Volume 9, Issue 10, Pages (December 2010) DOI: /j.eursup Copyright © 2010 European Association of Urology Terms and Conditions

2 Fig. 1 The Lundiana pouch is built from the ileocaecal segment with an intussuscepted ileal nipple, including the ileocaecal valve as efferent segment [4]. European Urology Supplements 2010 9, DOI: ( /j.eursup ) Copyright © 2010 European Association of Urology Terms and Conditions

3 Fig. 2 The original Mainz pouch I: (a) Intraoperative view showing the intussuscepted terminal ileum serving as continence mechanism, and (b) ureters are implanted using submucosal tunnels as antireflux mechanism [13,53]. European Urology Supplements 2010 9, DOI: ( /j.eursup ) Copyright © 2010 European Association of Urology Terms and Conditions

4 Fig. 3 (a) The appendix vermiformis is used as a stoma in the modified Mainz pouch I. (b) The appendix is submucosally embedded into the cecal pole [13,14]. European Urology Supplements 2010 9, DOI: ( /j.eursup ) Copyright © 2010 European Association of Urology Terms and Conditions

5 Fig. 4 The Mainz pouch III is built from 30–40cm of nonirradiated transverse colon and either ascending or descending colon. (a) A tailored bowel segment serves as continence mechanism in the U-shaped reservoir. (b) A refluxing anastomosis is used for ureterointestinal implantation [23]. European Urology Supplements 2010 9, DOI: ( /j.eursup ) Copyright © 2010 European Association of Urology Terms and Conditions

6 Fig. 5 The Mansoura pouch. A continent cutaneous ileal reservoir is constructed from a detubularized ileal segment. Two tapered bowel segments are embedded and fixed within serous-lined troughs and the appendix vermiformis can serve as efferent limb [30]. European Urology Supplements 2010 9, DOI: ( /j.eursup ) Copyright © 2010 European Association of Urology Terms and Conditions


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