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[The functional, augmented rectal bladder. Initial clinical experience with 10 patients].

K Miller1, U Matsui, R Hautmann

  • 1Urologische Universitätsklinik Ulm.

Der Urologe. Ausg. A
|May 1, 1991
PubMed
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This study shows the Kock rectal bladder technique is a promising option for urinary continence after cystectomy. It offers good daytime continence and acceptable nighttime continence for patients lacking urethral sphincter function.

Area of Science:

  • Urology
  • Surgical Techniques
  • Reconstructive Surgery

Context:

  • Urinary diversion is necessary after radical cystectomy or for managing complex stoma issues.
  • Maintaining urinary continence is crucial for patient quality of life.
  • The Kock technique offers an alternative for patients with compromised external urethral sphincter function.

Purpose:

  • To evaluate the efficacy and safety of the augmented, functional rectal bladder (Kock technique) in female patients.
  • To assess postoperative complications and functional outcomes, including urinary continence.
  • To determine the suitability of this technique for patients requiring urinary diversion.

Summary:

  • Ten female patients underwent the Kock rectal bladder procedure between August 1988 and March 1990.

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  • Indications included radical cystectomy (8 patients) and rediversion from a previous stoma (2 patients).
  • No perioperative mortality occurred. Complications included pyelonephritis, ileal intussusception obstruction, and sigmoid nipple slippage. Postoperative IV pyelography showed mostly normal renal units. All patients achieved daytime continence, with 7/10 achieving nighttime continence.

    • Impact:

    • The Kock rectal bladder technique demonstrates encouraging preliminary results for achieving urinary continence.
    • This method is a viable option for patients unable to utilize their external urethral sphincter for continence.
    • Further clinical application is warranted to solidify its role in urinary reconstructive surgery.