The craft of urologic surgery: the T pouch.
The flap-valve T mechanism in the T pouch provides an effective and reliable antireflux technique. The long-term results of the T pouch are yet to be determined; however, initial and early results have been excellent. This technique can be learned with a little experience. The T mechanism is a versatile flap-valve technique that can also be applied as a continent mechanism in a cutaneous reservoir (double T pouch). Reconstructive surgeons interested in lower urinary tract reconstruction should understand this concept and technique to broaden their surgical armamentarium.
Stein
John P
JP
Department of Urology, MS #74, University of Southern California Keck School of Medicine, Norris Comprehensive Cancer Center, 1441 Eastlake Avenue, Suite 7416, Los Angeles, CA 90089, USA. stein@hsc.usc.edu
Skinner
Donald G
DG
D006801:Humans; D014547:Urinary Diversion / Q000379:methods*; D016476:Urinary Reservoirs, Continent; D013520:Urologic Surgical Procedures / Q000379:methods*