[The Indiana pouch: a technic for simple continent urinary diversion]

Area of Science:

• Urology
• Surgical Techniques

Background:

• Continent urinary diversion is crucial after cystectomy for urogenital tumors.
• Managing neurogenic and traumatic bladders often requires advanced reconstructive techniques.

Purpose of the Study:

• To describe the Indiana pouch, a continent urinary diversion technique.
• To evaluate its efficacy and complications in patients undergoing cystectomy or with bladder dysfunction.

Main Methods:

• Retrospective study of 16 patients (June 1991-March 1995) using an ileocecal graft for urinary diversion.
• Postoperative follow-up included imaging (ultrasonography, CT scans) and urodynamic assessment in 7 patients.
• Continence was managed via the ileocecal valve.

Main Results:

• No early complications related to the urinary reservoir were reported.
• Late complications involved uretero-colonic anastomosis in 3 patients.
• 12 of 15 patients achieved continence; urodynamic assessment revealed a mean reservoir capacity of 671.4 mL.

Conclusions:

• The Indiana pouch is a practical and effective continent urinary diversion.
• The procedure is technically straightforward with a low rate of necessary revisions.
• It successfully ensures low-pressure continence for patients.