Preliminary report of a modified continent appendix stoma in a sigmoid urinary reservoir pouch.
BACKGROUND
The application of an appendix stoma in a Mainz urinary reservoir pouch is an established procedure and assures good continence. We modified this method for use with a sigmoid pouch.


METHODS
In each of 3 men with bladder carcinoma, an appendix with a blood supply was prepared and anastomosed to the detubularized sigmoid pouch with a 3-cm submucosal tunnel.


RESULTS
In all 3 patients, this procedure was performed successfully, and the pouch was completely continent. Self-catheterization could be performed without difficulty by 2 patients, and with slight resistance in the remaining patient. The patients are satisfied with their quality of life.


CONCLUSIONS
We conclude, based on our findings and these preliminary observations, that this procedure is a potentially good alternative for the placement of continent stoma in continent urinary reservoir surgery.
Arakawa
S
S
Department of Urology, Kobe University School of Medicine, Japan.
Gohji
K
K
Hara
I
I
Fujisawa
M
M
Okada
H
H
Kamidono
S
S
D000368:Aged; D001065:Appendix / Q000601:surgery*; D003106:Colon / Q000601:surgery*; D015653:Cystectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D013514:Surgical Procedures, Operative / Q000379:methods; D001749:Urinary Bladder Neoplasms / Q000601:surgery*; D016476:Urinary Reservoirs, Continent