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Recurrent lymphoma resulting in Kock pouch incontinence
J A Freeman1, J P Stein, D G Skinner
1Department of Urology, University of Southern California Medical Center, Los Angeles.
Urology
|May 1, 1994
Summary
Urinary diversion incontinence can occur in less than 20% of patients. This study details a rare cause: lymphoma recurrence affecting the Kock pouch
Area of Science:
- Urology
- Surgical Oncology
Background:
- The Kock pouch is a type of continent cutaneous urinary diversion.
- Incontinence affects fewer than 20% of patients post-Kock pouch surgery.
Observation:
- Several causes of Kock pouch incontinence are known, such as nipple prolapse, valve issues, fistulas, hernias, and mesh erosion.
- This report presents a unique case of Kock pouch incontinence.
Findings:
- The patient experienced recurrent lymphoma.
- The lymphoma involved the small bowel segment used for the efferent nipple valve mechanism.
- This lymphoma recurrence was the cause of the patient's incontinence.
Implications:
- Highlights a rare but significant complication of Kock pouch urinary diversion.
- Suggests the need for vigilance regarding potential lymphoma recurrence in patients with Kock pouches.
- Emphasizes considering oncologic causes for urinary diversion dysfunction.