Urethral controlled bladder substitution: a comparison between Parks S pouch and hemi-Kock pouch.
To study the effect of the configuration of ileal reservoirs on the urodynamic features, 12 S bladders and 12 Kock pouches were compared. Volume capacity and pressure characteristics were studied 6 months postoperatively. The mean capacity of the reservoirs was 500 +/- 83 ml. for the S bladder and 536 +/- 56 ml. for the Kock pouch. The amplitudes of phasic contractions at 50%, 80% and 100% capacity were similar in both groups. However, the frequency of these contractions was higher in the S bladder. The intraluminal pressure at full capacity was 31 +/- 15 cm. water for the S bladder and 39 +/- 20 cm. water for the Kock pouch. The similar urodynamic features of the S and Kock pouches indicate their ultimate expansion into reservoirs of close physical characteristics and urodynamic behavior.
Shaaban
A A
AA
Department of Urology, Urology-Nephrology Center, Mansoura, Egypt.
Dawaba
M S
MS
Gaballah
M A
MA
Ghoneim
M A
MA
D006801:Humans; D008297:Male; D008875:Middle Aged; D014521:Urethra / Q000502:physiology*; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods; D014563:Urodynamics