Continent catheterizable urinary diversion using the ileocecal segment with stapled intussusception of the ileocecal valve.
A continent ileocecal reservoir was created as an alternative to ileal loop urinary diversion in 7 patients. In 3 patients the bladder neck was closed, the in situ bladder was augmented and a continent stoma was formed by intussusception of the ileocecal valve. In the remaining 4 patients an isolated cecal reservoir with a continent stoma replaced the bladder. Creation of a stoma that was continent and easy to catheterize was achieved by intussusception of the ileocecal valve with stabilization of the intussuscepted nipple using a Marlex collar. In most cases the cecal segment was hyperactive but this was controlled with anticholinergic medication. All 7 patients have a satisfactory capacity and a continent stoma without significant catheterization difficulties.
D006801:Humans; D007080:Ileocecal Valve / Q000601:surgery*; D001745:Urinary Bladder Diseases / Q000601:surgery*; D014546:Urinary Catheterization; D014547:Urinary Diversion; D014549:Urinary Incontinence / Q000601:surgery