[Continent ileum reservoir with anastomosis to the urethra]

We report our experience with the directly to the urethra anastomosed continent ileal reservoir. Our results suggest that the S-Pouch is superior to the proceeding suggested by Kock both from clinical and urodynamic view. Continence is to be expected at an anastomosis of this pouch with the bladder neck, whereas at an anastomosis with the posterior urethra occasional cases of nightly incontinence were registered. This always happened when the neurovascular bundle had not been preserved intraoperatively. If an ileal reservoir is installed metabolic acidosis has to be carefully avoided.