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An update on the Kock pouch for continent urinary diversion
D G Skinner1, S D Boyd, G Lieskovsky
1Division of Urology, University of Southern California School of Medicine, LAC-USC Medical Center.
The Urologic Clinics of North America
|November 1, 1987
Summary
The Kock continent urostomy provides a valuable alternative to traditional urinary diversion methods. This technique improves patient body image and can salvage those with poor outcomes from conduit diversion.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Noncontinent urinary diversion can lead to poor body image and psychological distress.
- Salvaging patients with unsatisfactory results from prior diversion is a clinical challenge.
Purpose of the Study:
- To evaluate the Kock continent urostomy as an alternative to noncontinent urinary diversion.
- To assess the impact of the Kock pouch on patient body image and salvage rates.
Main Methods:
- Clinical experience with over 400 patients over 4.5 years.
- Evaluation of outcomes in patients undergoing Kock continent urostomy.
Main Results:
- The Kock continent urostomy is a viable alternative to noncontinent diversion.
- Patients reported improved body image after Kock pouch creation.
- The Kock pouch successfully salvaged patients with prior unsatisfactory diversion results.
Conclusions:
- The Kock continent urostomy offers significant physical and emotional benefits.
- It provides an improved body image and salvages patients with suboptimal outcomes from conduit diversion.