The Mainz II pouch: Experience in 5 patients with bladder exstrophy

Purpose: We report our experience with 5 patients with bladder exstrophy wh o underwent creation of a Mainz II pouch. Materials and Methods: We retrospectively reviewed the results of the Mainz II pouch as a primary urinary diversion in 2 and a secondary urinary diver sion in 3 patients. Each patient underwent multiple surgeries, including os teotomy 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 sma ll fibrotic bladder, and as a salvage procedure for those who have endured multiple reconstructive procedures and remain incontinent. Furthermore, thi s procedure deserves serious consideration in children residing in developi ng countries.