[Bladder substitution with continent ileum pouch experimental study on dogs (author's transl)].
Ileum conduit is a good method for supravesical diversion of urine. The disadvantage is, however, that it does not have a reservoir function. For the first time, in 1969 Kock had shown good results with a continent intra-abdominal ileum pouch for feces, and this gave us the idea to try a similar pouch for urine on 15 dogs. To make reservoirs of the small intestine was technically not simple and often led to complications. Urine continency could be attained by invagination of the small intestine. Primary and secondary reflux as well as stenoses of the ureter implantations led in 50% of the cases to ascending infections. Complications of urine reabsorption did not occur. Further studies of the continency, reflux and reabsorption problems indicate that a continent, intra-abdominal ileum pouch for urine will be possible.
D000818:Animals; D004285:Dogs; D007082:Ileum / Q000601:surgery; D014547:Urinary Diversion / Q000009:adverse effects
Blasenersatz durch ein kontinentes Ileumreservoir. Tierexperimentelle Studie an Hunden