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CONGRESS OF THE ESPU
S12-7 (P without presentation)
LONG-TERM FOLLOW-UP IN CHILDREN AND ADOLESCENT
WITH A RECTO-SIGMOID-POUCH (MAINZ POUCH II)
Nina HUCK
1
, Susanne KOEMMERLING
2
, Andreas NEISIUS
2
, Joachim THÜROFF
3
and Raimund STEIN
1
1) University Medical Centre Mannheim, Department of Pediatric and Adolescent Urology, Mannheim, GERMANY -
2) Johannes Gutenberg University Mainz, Department of Urology, Mainz, GERMANY - 3) University Medical Centre
Mannheim, Department of Urology, Mannheim, GERMANY
PURPOSE
Anal reservoirs are the oldest form of continent urinary diversion. In this study we evaluate the
long-term results of the Recto-Sigmoid Pouch (Mainz Pouch II) performed during childhood and
young adolescents.
MATERIAL AND METHODS
Between 1991 and 2012 the MZPII was performed in 18 girls and 18 boys below the age of 18 years.
Indications were failed primary repair or primary urinary diversion in 27 patients with in the bladder
extrophy-episapdies complex, 5 had a traumatic loss of the urethral sphincter, one vesico-vaginal
fistula one a rhabdomyosarcoma and one girl status post repair of a sinus urogenitalis.
RESULTS
During the mean follow-up of 12 (2-22) years, 12/36 patients developed a pyelonephritis, requiring
ureteral reimplantation in one. 6 Patients (5 within the first three months) developed a stenosis
at the ureterocolic anastomosis (in al 6 a submucosal tunnel was used) requiring reimplantation;
a one patient had a secondary UPJ-Obstruction. None of the patients with a serous lined extramural
tunnel developed a ureteral stenosis. 6 patients had occasionally (during the night) some loss of
urine in the long-term follow-up. In one patients a conversion to a continent cutaneous diversion was
performed du to recurrent pyelonephritis. 8 patients developed a benign adenomas (7 endoscopic
biopsy, 1 open excision).
CONCLUSIONS
The MZPII is still a valid option in children and young adolescent, requiring a livelong follow-up.
For ureteral reimplantation, the serous lined extramural tunnel is the preferred method.
S12-8 (P without presentation)
AUGMENTATION GASTROCYSTOPLASTY: THE LAST
BREATH?
Alice FAURE
1
, Geraldine HERY
2
, Romain BOISSIER
3
, Thierry MERROT
2
,
Pierre MOURIQUAND
4
, Gilles KARSENTY
5
and Jean-Michel GUYS
2
1) Aix-Marseille Université, APHM, CHU Hôpital Timone, Pediatric surgery, Marseille, FRANCE - 2) Aix-Marseille
Université, APHM, CHU Hôpital Timone, Pediatric surgery, Marseille, FRANCE - 3) Aix-Marseille Université, APHM, CHU
La Conception, Urology, Marseille, FRANCE - 4) Hospices Civils de Lyon et Université Claude Bernard, Lyon 1, CHU
Hôpital, Pediatric Urology, Bron, FRANCE - 5) Aix-Marseille Université, APHM, CHU Hôpital La Conception, UROLOGY,
Marseille, FRANCE
PURPOSE
To document the long-term outcomes of paediatric augmentation gastrocystoplasty (AGC) in
terms of preservation of renal function and maintenance of dryness, and to analyse the rate of
complications.