[Pelvectomy and continent diversion]

We owe to N.G. Kock and to M. Camey the extraordinary recent development of continent urinary diversion and of bladder replacement. During sixty-six months, 145 Kock pouches were constructed: 79 for continent cutaneous diversion (44 men, 35 women), 54 bladder replacements by men, 12 ileo-rectal diversions (10 women, 2 men). The mortality during the six first postoperative weeks reaches 6/145 patients (4.13%). 17 patients out of c139 (12.23%) presented postoperative complications; 15 patients required surgical revision (10.70%)(10 intestinal obstructions).