THE MAINZ-POUCH .2. SIGMA RECTUM POUCH

The Mainz Pouch II, a low pressure rectosigmoid reservoir for urine is created without any bowel anastomosis, Antimesenteric opening of the intestine at the rectosigmoid junction and subsequent side-to-side ana stomosis are performed. Without the risque of damaging the mesentery b lood supply, the pouch is fixed at the area of the pomontory or the ps oas muscle to avoid the kinking of the ureteres and consecutive dilata tion of the upper tract.