Recurrent lymphoma resulting in Kock pouch incontinence.
Incontinence following the Kock pouch continent cutaneous urinary diversion currently occurs in < 20 percent of patients undergoing the operation. Various causes of cutaneous incontinence have been identified, including efferent nipple prolapse, incompetent valve, pinhole fistula, parastomal herniation, and Marlex mesh erosion into the efferent nipple mechanism. We report the first case of a patient with recurrent lymphoma involving the small bowel utilized for the efferent continence nipple valve mechanism resulting in incontinence.
Freeman
J A
JA
Department of Urology, University of Southern California Medical Center, Los Angeles.
Stein
J P
JP
Skinner
D G
DG
D002295:Carcinoma, Transitional Cell / Q000601:surgery; D002430:Cecal Neoplasms / Q000150:complications*; D006801:Humans; D007078:Ileal Neoplasms / Q000150:complications*; D007080:Ileocecal Valve; D008228:Lymphoma, Non-Hodgkin / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000150:complications*; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D016476:Urinary Reservoirs, Continent