Bellevue pouch: ileocolonic continent urinary reservoir.
The technique for the Bellevue Pouch, another continent intestinal reservoir, is described. A large-capacity low-pressure reservoir is created from detubularized ascending colon, cecum, and terminal ileum. Continence is achieved by means of an intussuscepted segment of ileum and a modulating colonic pressure cuff wrapped around it. The operation has been performed on 19 patients, all of whom achieved satisfactory continence. Two patients were converted to free drainage systems at a later date. Average follow-up was twenty-five months.
Department of Urology, New York University School of Medicine, New York.
M
M
Golimbu
E
E
Farcon
J
J
Provet
S
S
al-Askari
P
P
Morales
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011312:Pressure; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects / Q000379:methods*