Korean J Urol.
1988 Oct;29(5):807-812.
Kock Continent Ileal Reservoir: Initial Experience and Complications
- Affiliations
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- 1Department of Urology, College of Medicine, Seoul National University, Seoul, Korea.
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.
