Technique of creation of a continent internal ileal reservoir (Kock pouch) for urinary diversion.
Kock and associates have made a major contribution to the urologic surgical armamentarium by developing a method to create a continent internal urinary reservoir out of ileum. This innovative procedure now offers patients requiring cystectomy for bladder cancer or cutaneous urinary diversion for any reason a real alternative to the standard ileal conduit, which requires wearing an external appliance. Operative technique, including some modifications developed by the authors, is presented.
D006801:Humans; D007082:Ileum / Q000601:surgery*; D011300:Preoperative Care; D013536:Suture Techniques; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*