[Experiences with continent ileostomy (Kock pouch) as bladder substitute in a general hospital]

It is reported on the experiences with 13 patients who received in the Urological Department of the Marienhospital Gelsenkirchen after radical cysto-prostatectomy a continent anti-reflux ileostomy (Kock pouch). After a short literature review and a presentation of the operative technique modified by Skinner the indications of a radical cystectomy with construction of a Kock pouch in the treatment of local invasively bladder cancer are described. The survival rates and the perioperative complications are presented.