Kock Continent Ileal Reservoir: Initial Experience and Complications.
- Author:
Eun Sik LEE
1
;
Chong Koo LEE
;
Sung Won LEE
;
Chongwook LEE
Author Information
1. Department of Urology, College of Medicine, Seoul National University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Kock reservoir
- MeSH:
Colonic Pouches*;
Cystectomy;
Humans;
Mortality;
Quality of Life;
Reflex;
Urethral Stricture;
Urinary Bladder Neoplasms;
Urinary Bladder, Neurogenic;
Urinary Diversion
- From:Korean Journal of Urology
1988;29(5):807-812
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A continent ileal reservoir procedure has been performed on 30 patients at our hospital since Jan. 1987. Twenty eight patients underwent simultaneous total cystectomy and this procedure for bladder tumor, 2 patients underwent a reservoir procedure only for a neurogenic bladder or a urethral stricture. There was no operative mortality. There was 4 early complications resulting directly from this kind of diversion : urinary leakage from ureteroileal anastomosis site in 1 that required reanastomosis, incontinence due to incompetent efferent valve and urinary reflex of afferent valve in 2. The end result in 30 patients indicates that the continent ileal reservoir provides a urine storage function with adequate capacity and without incontinence and reflux. Most patients appreciate better quality of life by not having collecting device. Although this procedure is more difficult, time consuming and complication prone more than ileal conduit, overall result is considered to be satisfactory.
