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Present experience with the Indiana pouch

R G Rowland1

  • 1Department of Urology, Indiana University School of Medicine, Indianapolis 46202-5250, USA.

World Journal of Urology
|January 1, 1996
PubMed
Summary
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The Indiana pouch, a continent cutaneous urinary diversion, has evolved with modifications improving catheterization and continence. Current techniques, including stapling, offer decreased operating times and favorable reoperation rates.

Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • The Indiana pouch, a continent urinary diversion, was developed in 1984.
  • Early modifications focused on reservoir detubularization and efferent limb/continence mechanisms.

Purpose of the Study:

  • To report outcomes of the Indiana pouch with over two years of follow-up.
  • To evaluate recent modifications, including stapling techniques.

Main Methods:

  • Review of 81 patients with a minimum 2-year follow-up.
  • Analysis of modifications including ileal patch, antimesenteric incision, and stapling (GIA, TA55).

Main Results:

  • Modifications led to improved results and lower reoperation rates.
  • Stapling technique in 20 patients decreased operative time without increased complications.

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Conclusions:

  • The current Indiana pouch design is a satisfactory continent cutaneous reservoir.
  • It demonstrates a favorable reoperation rate compared to other urinary diversion pouches.