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Related Experiment Videos

Alternative techniques for a continent urinary reservoir.

R G Rowland1, M E Mitchell, R Bihrle

  • 1Department of Urology, Indiana University School of Medicine, Indianapolis.

The Urologic Clinics of North America
|November 1, 1987
PubMed
Summary

A modified Gilchrist procedure creates a continent urinary reservoir with reliable continence and antireflux. This surgical technique alters the cecum to prevent reservoir contractions, offering customizable reservoir and stoma placement for urologists.

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Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • Continent urinary diversion is crucial for patients requiring bladder reconstruction.
  • Existing procedures may have limitations in continence or antireflux mechanisms.

Purpose of the Study:

  • To describe a modification of the Gilchrist procedure for creating a continent urinary reservoir.
  • To highlight the continence and antireflux features of the modified technique.

Main Methods:

  • Modification of the Gilchrist procedure utilizing the cecum.
  • Altering the tubular cecum via patching or reconfiguration to prevent reservoir contractions.
  • Employing familiar surgical techniques for urologists.

Main Results:

  • The modified procedure reliably achieves continence and antireflux.

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  • The technique allows for patient-specific placement of the reservoir and stoma.
  • The procedure integrates well with existing urological surgical practices.

    • Conclusions:

    • This modified Gilchrist procedure offers a viable option for continent urinary reservoir creation.
    • The technique provides reliable continence and antireflux with customizable features.
    • Its reliance on familiar surgical steps facilitates adoption by urologists.