PTU - Polskie Towarzystwo Urologiczne
list of articles:

Article published in Urologia Polska 1997/50/4.


Magdalena Czubak, Grzegorz Herlinger, Jan Szymanowski
Oddzia³ Urologii Szpitala Bielańskiego w Warszawie
Ordynator: dr med. Jan Szymanowski


bladder bladder cancer continent urinary diversion rectal bladder


Objective. The authors described theirs own experience in creating sigma-
rectum pouch Mainz II in bladder cancer patients.
Patients and method. In 28 patients modificated sigma-rectum pouch Mainz
II was created. All patients were operated on TCC.
Results. The observation time is 5 to 42 month, mean 18 months. Two
patients died in postoperative period (to 30 days after the operation). During
the observation time 7 patients died - 6 because of tumor progression.
Complications occured in 12 patients (43%) and 6 (21%) of them connected
with the method. 3 patients (11%) were reoperated. All patients had good
urinary continence. 1 patient (4%) had dribbling of urine in the night. All
patients run normal active life and are satisfied with method.
Conclusion. Sigma-rectum pouch Mainz II meets all criteria for a satisfactory
continent urinary reservoir.


  1. [1] Camey, M.: Bladder replacement by ileostyplasy following radical cystectomy. World.
  2. J. Urol., 1985, 3 ,161-166.
  3. [2] Fish, M., Hohenfellner, R.: Sigma Rectum Pouch: Eine modyfikation der Harnle-
  4. iterdarmimplantation. Akt. Urol, 22,1-10,1991.
  5. [3] Hautmann, R., Egghart, G., Czubak, M., Szymanowski, J.: The Comparison
  6. of the results and the ±ualiiy of life in patients after modified Indiana Pouch and
  7. Modified Sigma-Rectum Pouch Mainz II. J. Urol., 1996,201-205.
  8. [6] HerlingerG.,Ko¼mińska,E., Szymanowski,J.: Bezpo¶rednie nietunelizowanezespo-
  9. lenie moczowodowo-jelitowe sposobem Michalowskiego u chorych z nadpźcherzo-
  10. wym odprowadzeniem moczu. Urol. Pol., 1994,1-2,48-53.
  11. [5] Kock, N. G., Norlen, L., Philipsson, B. M, Akerlund, S.: The continent ileal
  12. reserooir (Kock pouch) for urinary dwersion. World J. Urol., 1985,3146-151.
  13. [6] Lockhart, J. L.: Remodeled right colon: An alternative urinary reserooir. J. Urol.,
  14. 1987, 138, 730-734.
  15. [7] McDougal, S. W.: Metabolic complications of urinary intestinal dwersion. J. Urol.,
  16. 1992, 147, 1199-1208.
  17. [8] Rowland, R. G. Mitchell, M. E., Bihrle, R., Kahnoski, R. ]., Piser, J. E.:
  18. Indiana continent urinary dwersion. J. Urol., 1987,137,1136-1139.
  19. [9] Studer, U. E., Ackermann, D., Casanov±, G. A., Zingg, E. J.: Three years experience
  20. with an ileal low pressure bladder substitution. Br. J. Urol., 1989,63,43-52.
  21. [10] Goldwasser, B., Webster, G. D.: Continent urinary dwersion. J. Urol., 1985,
  22. 134, 227-236.
  23. [11] Studer U. E., Gerber, E. E., Springer, J., Zingg, E. J.: Bladder reconstruction
  24. with bowel after radical cystectomy. World. J. Urol., 1992,10,11-19.
  25. [12] Szymanowski,}., Herlinger, G., Ko¼mińska, E., Nadolski, T.: Zmodyfiko-
  26. wany Sigma-Rectum pouch Mainz II. Urol. Pol., 1994,3A, 86.
  27. [13] Herlinger, G., Czubak, M., Szymanowski J., Czubak, M., Herlinger, G.,
  28. Skarbek-Kie³³czewski, J.: Metabolic complications after modified Sigma-Rectum
  29. Pouch-Mainz II. Continent Urinary reconstruction, Second International Me-
  30. eting. 1995,149-154.