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[Continent urostomy using Kock's method].

F Samdal1, B Brevik, H E Myrvold

  • 1Kirurgisk avdeling, Regionsykehuset i Trondheim.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|February 20, 1990
PubMed
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Continent ileal reservoir urinary diversion (Kock pouch) showed no operative mortality in eight patients. While early and late complications occurred, all patients achieved excellent functional results with urinary continence and no upper tract reflux.

Area of Science:

  • Urology
  • Surgical Techniques
  • Reconstructive Surgery

Context:

  • Continent urinary diversion is a complex surgical procedure.
  • The Kock pouch is a specific technique for creating a continent ileal reservoir.
  • Evaluating the outcomes of this procedure is crucial for patient management.

Purpose:

  • To assess the safety and efficacy of the Kock pouch urinary diversion.
  • To report on the operative mortality, early and late complications, and functional outcomes.

Summary:

  • Eight patients underwent continent ileal reservoir urinary diversion (Kock pouch) with zero operative mortality.
  • Early complications included uretero-enteric anastomosis leakage and cholecystitis, requiring reoperation in three patients.
  • Late complications involved uretero-enteric anastomosis stenosis in two patients, also necessitating reoperation.

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  • Despite complications, all patients achieved excellent functional results, demonstrating urinary continence and no reflux to the upper urinary tract.

    • Impact:

    • This study highlights the Kock pouch as a viable option for urinary diversion.
    • Understanding complication rates and functional outcomes can guide surgical decision-making.
    • The findings support the long-term success of this technique in achieving continence and protecting renal function.