Continent urinary diversion using the mainz-type ureterosigmoidostomy - a valuable salvage procedure

Objectives: To review the indications and outcome of patients undergoing a Mainz-type ureterosigmoidostomy. Patients and Methods: Fourteen patients wh o had lost or were about to lose their urethra and sphincter mechanism unde rwent this operation to provide a continent urinary diversion. Patients had a minimum followup of 2 years. Results: There were no significant postoper ative complications. Three patients have died from recurrent malignant dise ase. Ali patients were continent. Conclusion: The Mainz-type ureterosigmoid ostomy is a useful technique in situations where orthotopic reconstruction is not possible. Incontinence and reflux do not occur with this detubulariz ed pouch.