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  • Title: Clinical experience with the detubularized ileocecal reservoir and continent appendicoumbilical stoma in urinary diversion.
    Author: Nurmi M, Rajala P, Laato M.
    Journal: Eur Urol; 1997; 31(2):169-72. PubMed ID: 9076460.
    Abstract:
    OBJECTIVE: To obtain clinical experience of a reservoir using a detubularized ileocecal segment (Mainz pouch) and continent appendiceal stoma connected to the umbilicus. METHODS: The operation was performed in 23 patients. The submucosally placed in situ appendix was connected to the umbilicus acting as the continence mechanism and route for self-catheterization. The follow-up period was 8-62 months. RESULTS: No operative mortality occurred. In 2 patients the postoperative period was complicated by catheter perforation of the appendix. In 4 patients stomal stenosis required excision of the stricture and reanastomosis. All patients are completely continent and catheterization is easy. CONCLUSION: Both functional and cosmetic results are very satisfactory.
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