An alternative surgical technique for the management of afferent limb structure in Kock pouch continent urinary diversion.
Stenosis of the afferent limb has recently been recognized as a rare cause of upper urinary tract obstruction in patients with a Kock pouch continent urinary diversion. Usually, it can be managed by endoscopic balloon dilation but occasionally open surgical reconstruction is required. We describe an alternative simpler surgical technique that was used in a patient who presented with anuria due to afferent limb stenosis 13 years after the construction of a Kock pouch continent urinary diversion.
Leibovitch
I
I
Department of Urology UH-1725, Indiana University Medical Center, Indianapolis 46202, USA.
Kaefer
M
M
Bihrle
R
R
D000328:Adult; D001002:Anuria / Q000209:etiology / Q000601:surgery; D003251:Constriction, Pathologic / Q000601:surgery; D006801:Humans; D008297:Male; D012086:Reoperation / Q000379:methods; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects* / Q000379:methods