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Khalil F, Fellahi S, Ouslim H, et al. Long-term follow-up after ileocaecal continent cutaneous urinary diversion (Mainz I pouch): A retrospective study of a monocentric experience. Arab J Urol. 2015;13(4):245-9doi: 10.1016/j.aju.2015.09.004.
Khalil, F., Fellahi, S., Ouslim, H., Mhanna, T., El Houmaidi, A., Aynaou, M., Boteng, P. D., Barki, A., & Nouini, Y. (2015). Long-term follow-up after ileocaecal continent cutaneous urinary diversion (Mainz I pouch): A retrospective study of a monocentric experience. Arab journal of urology, 13(4), 245-9. https://doi.org/10.1016/j.aju.2015.09.004
Khalil, Fahd, et al. "Long-term follow-up after ileocaecal continent cutaneous urinary diversion (Mainz I pouch): A retrospective study of a monocentric experience." Arab journal of urology vol. 13,4 (2015): 245-9. doi: https://doi.org/10.1016/j.aju.2015.09.004
Khalil F, Fellahi S, Ouslim H, Mhanna T, El Houmaidi A, Aynaou M, Boteng PD, Barki A, Nouini Y. Long-term follow-up after ileocaecal continent cutaneous urinary diversion (Mainz I pouch): A retrospective study of a monocentric experience. Arab J Urol. 2015 Dec;13(4):245-9. doi: 10.1016/j.aju.2015.09.004. Epub 2015 Oct 20. PMID: 26609442; PMCID: PMC4656798.
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Arab J Urol. 2015 Dec;13(4):245-9. doi: 10.1016/j.aju.2015.09.004. Epub 2015 Oct 20.

Long-term follow-up after ileocaecal continent cutaneous urinary diversion (Mainz I pouch): A retrospective study of a monocentric experience.

Arab journal of urology

Fahd Khalil, Saad Fellahi, Hicham Ouslim, Tarik Mhanna, Amine El Houmaidi, Mohammed Aynaou, Paapa Dua Boteng, Ali Barki, Yassine Nouini

Affiliations

  1. Department of Urology, Mohammed VI University Hospital, Mohammed the First University, Oujda, Morocco.
  2. Urology A Department, Ibn-Sina University Hospital, Mohammed V University, Rabat, Morocco.

PMID: 26609442 PMCID: PMC4656798 DOI: 10.1016/j.aju.2015.09.004

Abstract

OBJECTIVE: To assess the long-term follow-up after ileocaecal continent cutaneous reservoir (ICCR) and to review the late complications.

PATIENTS AND METHODS: In all, 756 patients underwent an ICCR in our department, with long-term follow-up data available in 50 patients. The inclusion criterion was ICCR regardless of the indication and the exclusion criteria were orthotopic neobladder or other continent urinary diversions not performed with the ileocaecum. Patients were followed to record primary outcomes and late complications. Complications were stratified according to the Clavien-Dindo classification.

RESULTS: The mean patient age was 44 years and pelvic malignancies were the first indication for urinary diversion. The mean (range) follow-up was 19 (9-36) years. A stoma stenosis was the most frequent outlet-related complication requiring re-intervention, followed by ischaemic outlet degeneration, and stoma incontinence. Six renal units (RUs) developed obstruction at the anastomotic site and were managed by open surgery. Three RUs had to be removed due to deterioration. A dederivation was necessary in three patients (6%).

CONCLUSION: The ICCR is a safe and established technique when an orthotopic pouch is impossible. The long-term follow-up shows acceptable complication rates and satisfactory continence conditions. However, large population studies are necessary to confirm this observation.

Keywords: Cutaneous ileocaecal pouch; ICCR, ileocaecal continent cutaneous reservoir; Long-term follow up; Mainz pouch; QoL, quality of life; RU, renal unit

References

  1. J Urol. 1999 Apr;161(4):1057-66 - PubMed
  2. J Urol. 1979 Aug;122(2):154-7 - PubMed
  3. Int J Urol. 1997 Jan;4(1):26-31 - PubMed
  4. Eur Urol. 2001 Dec;40(6):625-31 - PubMed
  5. J Urol. 1973 Feb;109 (2):210-6 - PubMed
  6. BJU Int. 2008 Nov;102(9 Pt B):1314-9 - PubMed
  7. Qual Life Res. 2000 Feb;9(1):1-12 - PubMed
  8. J Urol. 1989 Oct;142(4):964-8 - PubMed
  9. Urology. 2002 Oct;60(4):603-6 - PubMed
  10. J Urol. 1986 Jul;136(1):17-26 - PubMed
  11. J Urol. 1988 Aug;140(2):283-8 - PubMed
  12. J Urol. 1990 Oct;144(4):864-7 - PubMed
  13. Surgeon. 2012 Feb;10(1):33-5 - PubMed
  14. Surg Gynecol Obstet. 1950 Jun;90(6):752-60 - PubMed
  15. J Urol. 2003 Nov;170(5):1884-7 - PubMed
  16. J Urol. 1997 Nov;158(5):1709-13 - PubMed
  17. J Urol. 2003 Jan;169(1):174-6 - PubMed
  18. Stat Med. 2004 Feb 28;23(4):649-66 - PubMed
  19. World J Urol. 1996;14(2):85-91 - PubMed
  20. J Urol. 1997 Sep;158(3 Pt 1):778-85 - PubMed
  21. J Clin Invest. 1966 Jun;45(6):956-62 - PubMed
  22. Prog Urol. 1996 Apr;6(2):207-16 - PubMed
  23. Can Med Assoc J. 1981 Mar 15;124(6):729-33 - PubMed
  24. Br J Urol. 1995 Nov;76(5):539-45 - PubMed
  25. Eur Urol. 1997;32(1):23-9 - PubMed
  26. Ann Surg. 2004 Aug;240(2):205-13 - PubMed
  27. World J Urol. 2006 Aug;24(3):315-8 - PubMed
  28. World J Urol. 1999 Oct;17(5):305-7 - PubMed
  29. J Urol. 2002 Nov;168(5):2030-4; discussion 2034 - PubMed
  30. Scand J Urol Nephrol Suppl. 1994;157:113-8 - PubMed
  31. J Urol. 2003 Mar;169(3):985-90 - PubMed

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