Continence mechanism based on a modified ileocecal valve.
OBJECTIVE
We describe the technique and results of a simply constructed continence mechanism for continent urinary diversion to the skin based on the ileocecal valve.


METHODS
During a 3-year period 28 patients underwent construction of a continent stoma using the ileocecal valve; 23 patients were available for evaluation. The various indications for lower urinary tract reconstruction in this patient population included malignancy (4), neurogenic bladder (11), and urethral dysfunction (8). The continence mechanism is provided by the ileocecal valve, with tapering of the distal ileal segment with an absorable stapling device and then securing the catheterizable ileal segment to the serosa of the cecum along an opened taenia to provide an additional level of continence to the ileocecal valve.


RESULTS
Continence was achieved in 83% (19 of 23) of patients. Two patients required revision and are now dry, and two patients have not undergone revision and remain wet. No patients have had problems with difficult or traumatic catheterization of the limb or peristomal hernia. One case of stomal stenosis was identified and treated with an outpatient revision.


CONCLUSIONS
This technique for construction of a continence mechanism for a continent cutaneous urinary reservoir is simple to create, reliable, and without excess morbidity.
Ginsberg
D
D
Department of Urology, UCLA School of Medicine, Los Angeles, California, USA.
Rovner
E
E
Raz
S
S
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007080:Ileocecal Valve; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery; D001743:Urinary Bladder / Q000601:surgery; D014547:Urinary Diversion / Q000379:methods*; D014549:Urinary Incontinence / Q000517:prevention & control*; D014570:Urologic Diseases / Q000601:surgery