Serosa Lined and Tapered Ileum as Primary and Secondary Continence Mechanism for Various Catheterizable Pouches
作者: Tilman KälbleStephan Roth
作者单位: 1Departments of Urology and Pediatric Urology, Fulda Clinic, Fulda and University Witten-Herdecke, Helios Clinic Wuppertal, Wuppertal, Germany
刊名: The Journal of Urology, 2008, Vol.180 (5), pp.2053-2057
来源数据库: Elsevier Journal
DOI: 10.1016/j.juro.2008.07.052
关键词: urinary diversionileumurinary incontinencesurgical stomascatheterization
原始语种摘要: Purpose(#br)Incontinence of catheterizable ileocecal pouches with an umbilical stoma using the original Mainz pouch technique can be repaired by a secondary ileal intussusception nipple fixed in the ileocecal valve. In cases of a modified Mainz pouch with ureteral anastomosis to the prevalvular ileal segment another form of troubleshooting is necessary.(#br)Materials and Methods(#br)In 4 of 112 patients (3.6%) with the modified Mainz pouch described by Roth incontinence or stenosis of the catheterizable stoma occurred. A 24 to 30 cm segment of ileum was isolated. The proximal 8 to 10 cm were tapered and seroserosally embedded in the U-shaped 2 × 8 to 10 cm long remainder of the segment. After excising the insufficient efferent limb this ileal segment was anastomosed to the pouch and the...
全文获取路径: Elsevier  (合作)
影响因子:3.696 (2012)

  • pouch 
  • ileal 回肠的
  • stoma 气孔
  • urinary 尿的
  • incontinence 失禁
  • diversion 分流
  • ileocecal 回盲肠的
  • bladder 膀胱
  • umbilicus 
  • umbilical 供应脐带