[The Indiana pouch continent cutaneous urinary diversion].
Initially, the procedure was simply an ileo-caecal segment, as it was thought that peristalsis of the terminal ileum and the ileo-caecal valve accounted for continence. The Rowland group made some modifications, using 8-10 cm of terminal ileum and 30 cm of caecum and ascending ileum. By constructing an efferent limb using staples, a highly reliable continence mechanism is created. The absorbable staples reduce the operating time by about 1 hour and make the been operated on using these staples, and no problems with stones or infections have been encountered, with only 2 patients reporting fragments of staples in their urine.
Rowland
R G
RG
Dipartimento di Urologia, Indiana School of Medicine, Indianapolis, USA.
D002432:Cecum / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000601:surgery; D011312:Pressure; D013536:Suture Techniques; D014547:Urinary Diversion / Q000379:methods*