Hemi-Kock reconstruction following cystectomy: experience and results from a small urological unit.
Between December 1988 and January 1992, 11 men underwent lower urinary tract reconstruction by means of the hemi-Kock ileal reservoir following radical cystoprostatectomy (ten patients) and subtotal cystectomy (one patient). Six of the 11 patients developed an early postoperative complication, with a fatal outcome in two of them. One patient succumbed to subarachnoidal bleeding and one to septic shock. During the follow-up, another two men died of advanced bladder carcinoma. The late complication rate was low. Most patients regained their continence within six months. A good continence was achieved in all the nine remaining patients during the day and in six of them at night. This experience suggests that the hemi-Kock reservoir is a useful method for the urinary tract reconstruction following cystectomy.
Kauppinen
R
R
Department of Surgery, Lapland Central Hospital, Rovaniemi, Finland.
Lindell
O
O
D015653:Cystectomy; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology* / Q000503:physiopathology; D013997:Time Factors; D001749:Urinary Bladder Neoplasms / Q000453:epidemiology / Q000601:surgery*; D016476:Urinary Reservoirs, Continent; D014563:Urodynamics / Q000502:physiology