Alternative techniques for a continent urinary reservoir.
A modification of the Gilchrist procedure is used to create a continent urinary reservoir that provides reliable continence and antireflux mechanisms. The tubular form of the cecum is altered by a patch or reconfiguration to prevent bolus contractions of the reservoir. The procedure offers a choice of locations of the reservoir and stoma in most patients. Each step of the procedure uses techniques already familiar to urologists.
Rowland
R G
RG
Department of Urology, Indiana University School of Medicine, Indianapolis.
Mitchell
M E
ME
Bihrle
R
R
D002432:Cecum / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*; D014549:Urinary Incontinence / Q000517:prevention & control*