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Functional, augmented rectal bladder: early clinical experience.

K Miller1, U Matsui, R Hautmann

  • 1Department of Urology, University of Ulm, FRG.

European Urology
|January 1, 1991
PubMed
Summary
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This study evaluated Kock

Area of Science:

  • Urology
  • Surgical Innovation
  • Reconstructive Surgery

Background:

  • Radical cystectomy and undiversion from a wet stoma necessitate urinary diversion.
  • The Kock technique offers an augmented, functional rectal bladder for urinary continence.

Purpose of the Study:

  • To assess the efficacy and safety of the Kock technique for creating a functional rectal bladder.
  • To evaluate continence outcomes and complications in patients undergoing this procedure.

Main Methods:

  • 10 female patients underwent the Kock technique for urinary diversion between August 1988 and March 1990.
  • Indications included radical cystectomy (8 patients) and undiversion (2 patients).
  • Postoperative follow-up included intravenous pyelography and continence assessment.

Related Experiment Videos

Main Results:

  • No perioperative mortality was observed.
  • Minor complications included obstructive pyelonephritis (1), ileal intussusception obstruction (1), and sigma nippel slipping (1).
  • Postoperative continence was achieved by all patients during the day, with 7 of 10 being completely continent at night.

Conclusions:

  • The Kock technique for augmented, functional rectal bladder creation demonstrates encouraging preliminary results.
  • This method is a viable option for urinary diversion in patients lacking an external urethral sphincter for continence.
  • Further clinical application is warranted to validate long-term outcomes.