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Bellevue pouch: ileocolonic continent urinary reservoir
M Golimbu1, E Farcon, J Provet
1Department of Urology, New York University School of Medicine, New York.
Urology
|June 1, 1993
Summary
The Bellevue Pouch creates a continent intestinal reservoir using colon and ileum. This surgical technique successfully achieved satisfactory continence in 19 patients, offering a reliable option for bowel management.
Area of Science:
- Gastroenterology
- Surgical Techniques
- Urology
Background:
- Continent urinary diversions are essential for managing bladder exstrophy and other conditions.
- Existing continent diversion techniques have varying success rates and complexities.
- The Bellevue Pouch offers an alternative continent intestinal reservoir construction.
Purpose of the Study:
- To describe the surgical technique for creating the Bellevue Pouch.
- To evaluate the efficacy and safety of the Bellevue Pouch in achieving urinary continence.
Main Methods:
- The Bellevue Pouch is constructed from detubularized ascending colon, cecum, and terminal ileum.
- A large-capacity, low-pressure reservoir is formed.
- Continence is achieved via an intussuscepted ileal segment and a colonic pressure cuff.
Main Results:
- The procedure was performed on 19 patients.
- All 19 patients achieved satisfactory continence.
- Two patients were later converted to free drainage systems.
- Average follow-up was 25 months.
Conclusions:
- The Bellevue Pouch technique provides a reliable method for creating a continent intestinal reservoir.
- Satisfactory continence was achieved in all patients undergoing this procedure.
- Further evaluation may be warranted for patients requiring conversion to free drainage.