[Continent urinary diversion].
The Davis procedure is a modification of Indiana pouch, using a stapling technique and a right colon segment. The ileo-caecal valve is reinforced in a slightly different way from the Indiana procedure, but the terminal ileum is similarly tapered. An umbilical stoma is created since many patients are obese and the umbilicus is the thinnest part of the abdominal wall. The technique has been used in 22 patients, and there have been few complications. Continence is generally excellent, but patients tend to leak at capacity (this, however, indicates to patients when they should catheterize). Overall patient satisfaction is excellent.
Stone
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Dipartimento di Urologia, Università della California, Sacramento, USA.
D001065:Appendix / Q000601:surgery; D003106:Colon / Q000601:surgery; D012809:Colon, Sigmoid / Q000601:surgery; D006801:Humans; D054047:Surgical Stomas; D013536:Suture Techniques; D014472:Umbilicus / Q000601:surgery*; D014547:Urinary Diversion / Q000379:methods*