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The hemi-Kock ileocystoplasty: a versatile procedure in reconstructive urology
K Kreder1, A K Das, G D Webster
1Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710.
The Journal of Urology
|May 1, 1992
Summary
The hemi-Kock system, using ileum to create a one-way valve, successfully reconstructed bladders in 30 patients. This versatile technique offered solutions for incontinence, augmentation, and continent stomas.
Area of Science:
- Urology
- Surgical Reconstruction
Background:
- Urinary incontinence and bladder dysfunction present complex reconstructive challenges.
- Existing methods may have limitations in managing severe bladder outlet destruction and upper tract damage.
Purpose of the Study:
- To evaluate the efficacy and versatility of the hemi-Kock system in various urological reconstructive procedures.
- To assess its performance in reflux prevention, continent stoma creation, and bladder augmentation.
Main Methods:
- The hemi-Kock system was constructed from detubularized terminal ileum, featuring an ileoileal intussusception for a one-way valve.
- Applied in 30 patients for diverse reconstructions including continent stomas, bladder augmentation with ureteral reimplantation, and orthotopic bladder replacement.
Main Results:
- Successful application in all 30 cases, demonstrating a capacious, low-pressure reservoir.
- Effectively prevented reflux, improved dilated upper tracts, and served as a reliable continent stoma.
- Showcased versatility in managing urinary incontinence, augmenting bladders, and orthotopic replacements.
Conclusions:
- The hemi-Kock system is a versatile and effective tool for complex urological reconstructions.
- It provides a reliable solution for creating continent stomas and managing bladder dysfunction with upper tract preservation.