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An unusual reason for Kock pouch urinary incontinence
Jürgen Pannek1, Alexander Holz, Jobst Pastor
1Department of Urology, Division of Neuro-Urology, Ruhr-Universität Bochum, Marienhospital Herne, Germany. jpannek@aol.com
Urology
|July 28, 2007
Summary
Kock pouch incontinence occurred due to efferent nipple valve perforation during catheterization in a spinal cord injury patient. Surgical revision successfully restored continence.
Area of Science:
- Urology
- Surgical Innovation
- Patient Case Studies
Background:
- The Kock pouch is a surgically created internal reservoir for urinary diversion.
- Maintaining the integrity of the nipple valve is crucial for preventing incontinence.
- Spinal cord injury patients may require urinary diversion and catheterization.
Observation:
- A patient with a spinal cord injury developed Kock pouch incontinence.
- The incontinence was attributed to perforation of the efferent nipple valve.
- The perforation resulted from an attempted catheterization that was unsuccessful.
Findings:
- Nipple valve perforation is a complication that can lead to Kock pouch incontinence.
- Successful catheterization is essential for preventing iatrogenic injury to urinary diversion components.
- Surgical revision can effectively address and repair a perforated nipple valve.
Implications:
- This case highlights the importance of careful catheterization techniques in patients with Kock pouches.
- It underscores the need for vigilance regarding potential complications of urinary diversion devices.
- Surgical revision offers a viable solution for restoring continence after nipple valve perforation.
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