Further Experience with the Urethral Kock Pouch
- 1 February 1992
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Urology
- Vol. 147 (2), 361-365
- https://doi.org/10.1016/s0022-5347(17)37238-5
Abstract
In 185 men a urethral Kock pouch was constructed as a bladder substitute after radical cystectomy for cancer. A total of 117 patients was followed for a minimum of 1 year and is fully evaluable. Of the patients 108 (92%) are completely continent during the day, while 85 (73%) are dry at night. Also, 8 patients had an excellent response to imipramine hydrochloride. Stability or improvement in the configuration of the upper tract was noted in 210 renal units (90%). A total of 24 renal units showed evidence of deterioration due to reflux (16) and an anastomotic stricture (8). Stability of the antireflux nipple valve was ensured by creation of a window in the mesentery of the corresponding bowel segment and by anchoring the valve to the wall of the pouch by an additional row of staples. On the basis of this favorable outcome the procedure is recommended for male patients for whom cystectomy is indicated and in whom the urethra can be preserved.Keywords
This publication has 19 references indexed in Scilit:
- Urethral Recurrence Following Radical CystectomyJournal of Urology, 1990
- Renal Function and Upper Urinary Tract Configuration Following Urinary Diversion to a Continent Ileal Reservoir (Kock Pouch): A Prospective 5 To 11-Year Followup after Reservoir ConstructionJournal of Urology, 1989
- Replacement of the Bladder by the Urethral Kock Pouch: Functional Results, Urodynamics and Radiological FeaturesJournal of Urology, 1989
- An Appliance-Free, Sphincter-Controlled Bladder Substitute: The Urethral Kock PouchJournal of Urology, 1987
- Management of Late Complications of the Kock Pouch Form of Urinary DiversionJournal of Urology, 1987
- The continent ileal reservoir (kock pouch) for urinary diversionWorld Journal of Urology, 1985
- Clinical Experience with the Kock Continent Ileal Reservoir for Urinary DiversionJournal of Urology, 1984
- Carcinoma in Situ of the Urethra Associated with Bladder Carcinoma: The Role of UrethrectomyJournal of Urology, 1978
- Transitional Cell Carcinoma of the Urethra in Men Having Cystectomy for Bladder CancerJournal of Urology, 1976
- Carcinoma of the bilharzial urinary bladder.A study of the associated mucosal lesions in 86 casesCancer, 1972