6533b828fe1ef96bd1287c1f

RESEARCH PRODUCT

The Appendix as a Continence Mechanism

R. WammackMargit FischR. A. BürgerStefan MüllerR. Hohenfellner

subject

Adultmedicine.medical_specialtyAdolescentUrologyLarge capacityContext (language use)AppendixPostoperative ComplicationsContinence mechanismmedicineHumansChildUrinary pouchAgedAppendix vermiformisbusiness.industryUrinary Reservoirs ContinentMiddle AgedAppendixSurgeryUrodynamicsmedicine.anatomical_structureChild PreschoolPouchbusinessContinent Urinary Diversion

description

Although we have progressed very well in creating large capacity, low pressure reservoirs, the construction of a simple and reliable continent outlet still remains a problem. The appendix vermiformis serves well as a continence mechanism for either the bladder or intestinal reservoirs for urine. The different surgical techniques described in the literature are reviewed and discussed in this context. Moreover, we report on our clinical and experimental results of using the appendix during the Mainz pouch procedure for continent urinary diversion.

https://doi.org/10.1159/000474766