Korean J Urol.
1986 Dec;27(6):839-845.
Kock Continent Ileal Reservoir
- Affiliations
-
- 1Department of Urology, Keimyung University School of Medicine, Taegu, Korea.
Abstract
- Urinary diversion with a continent ileal reservoir has been performed in 2 patients following the method modified by Skinner. An important modification included isolation of a narrow strip mesentery for 6-8cm along the efferent and afferent limbs of the pouch to allow adequate ileal intussusception and fixation to prevent reflux and to ensure continence. The reservoir generally is emptied by intermittent catheterization every 4 to 6 hours during the day and once at night. The volume capacity of the reservoir is more than 590ml. Retrograde reservoirgrams have demonstrated no reflux in one patient and mild reflux in the other patient and post-operative excretory urograms show normal urinary tract in one patient and mild hydronephrosis in the other patient. All patients are satisfied with this type of urinary diversion.
