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Indiana continent urinary reservoir
The Journal of Urology
|June 1, 1987
Summary
This study presents a novel surgical technique for creating cecoileal reservoirs, achieving excellent continence and preventing upper tract obstruction in 93% of patients. The method utilizes the cecum and ileocecal valve for reliable urinary diversion.
Area of Science:
- Urology
- Surgical Innovation
- Gastrointestinal Surgery
Background:
- Urinary diversion is crucial for managing bladder dysfunction.
- Existing methods often face challenges with reflux and continence.
- The ileocecal region offers potential for creating functional urinary reservoirs.
Purpose of the Study:
- To evaluate the efficacy and safety of a novel cecoileal reservoir technique.
- To assess the antireflux and continence mechanisms in this new surgical approach.
- To determine the short-term outcomes of patients undergoing this procedure.
Main Methods:
- Creation of cecoileal reservoirs in 29 patients.
- Utilizing tunneled ureteral implantations along the cecal tenia for antireflux.
- Employing ileocecal valve and terminal ileal plication/tapering for continence.
- Modifying cecal configuration to prevent bolus contractions.
Main Results:
- No upper tract obstruction observed on short-term follow-up excretory urography.
- Radiographic evidence of no reflux in the created pouches.
- 93% of patients reported satisfactory continence via interviews.
Conclusions:
- The described cecoileal reservoir technique is a safe and effective method for urinary diversion.
- The antireflux and continence mechanisms employed demonstrate high success rates.
- This approach offers a promising solution for patients requiring urinary reservoirs.