[The Kock continent urinary diversion].
The continent ileal reservoir as conceived by Kock produces a low-pressure, high-capacity reservoir with continent and nonrefluxing valves constructed from ileum. From August 1982 through March 1988, 531 patients underwent continent urinary diversion via a Kock reservoir at our institution. Of these, 39 males had a Kock bladder substitution, while the rest underwent cutaneous Kock diversion. Early complications occurred in 16% of all patients, and there was an operative mortality rate of 1.9%. Surgical modifications of nipple fixation, which are discussed in detail in this paper, help to reduce late complications to less than 10%. Patient satisfaction with both procedures remains excellent.
Boyd
S D
SD
University of Southern California, School of Medicine, Los Angeles.
Skinner
D G
DG
Lieskovsky
G
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods; D003556:Cystitis / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D011471:Prostatic Neoplasms / Q000601:surgery*; D013528:Surgical Staplers; D013536:Suture Techniques; D001743:Urinary Bladder / Q000002:abnormalities; D001745:Urinary Bladder Diseases / Q000601:surgery*; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D001750:Urinary Bladder, Neurogenic / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*
Die kontinente Harnableitung nach Kock.