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[The Kock continent urinary diversion].

S D Boyd1, D G Skinner, G Lieskovsky

  • 1University of Southern California, School of Medicine, Los Angeles.

Der Urologe. Ausg. A
|July 1, 1989
PubMed
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The Kock continent ileal reservoir offers a low-pressure, high-capacity solution for urinary diversion. Surgical modifications significantly reduce late complications, maintaining excellent patient satisfaction.

Area of Science:

  • Urology
  • Surgical Innovation

Context:

  • Continent urinary diversion is a complex procedure.
  • The Kock ileal reservoir offers a solution for bladder reconstruction and diversion.

Purpose:

  • To evaluate the efficacy and safety of the Kock continent ileal reservoir.
  • To present surgical modifications aimed at reducing complications.

Summary:

  • 531 patients underwent Kock reservoir procedures (cutaneous diversion or bladder substitution) between 1982 and 1988.
  • Early complications occurred in 16% with a 1.9% operative mortality.
  • Surgical modifications improved outcomes, reducing late complications to under 10%.

Impact:

  • Demonstrates the long-term viability and patient acceptance of the Kock reservoir.

Related Experiment Videos

  • Highlights the importance of surgical technique in minimizing complications for continent urinary diversion.