Rectal bladder of Mainz II — Miller — Hautman type
Article published in Urologia Polska 1994/47/4.

authors

Kazimierz Krajka, Arkadiusz Mikszewicz, Lech Stachurski, Dariusz Perkowski

Z Katedry i Kliniki Urologii Akademii Medycznej w Gdańsku
Kierownik: Prof. dr hab. med. K. Krajka

summary

Urine diversion method after radical resection of the bladder because of cancer has been

presented. Rectal bladder walls are formed by upper part of rectum, distal sigmoideum and

detubularized part of 40 cm long of ileum. Ureters have been connected with a proximal part of

intestinum by Wallace I with formation of valve mechanism.

8 patients with infiltrating urinary bladder cancer have been operated. No major

post-operative complications have been observed. Follow-up was 5-22 months long. 3 patients

died because of the progress of the desease.

Other patients are well. They defecated 5-6 times a day, feeling no need to remove the

bowels at night. Control examinations carried on for 3-6 months after the operation revealed

improved kidney activity and narrowing of ureters. Except one case no contrast in the ileal graft

and ureters during x-ray examination has been noticed.

Recent results of the method have been considered incouraging.

references

correspondence