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2010-10-27 Kock NG, Nilson AE, Nilsson LO, Norlen LJ, Philipson BM (1982) Urinary diversion via a continent ileal reservoir: clinical results in 12 patients. J Urol 128: 469–475 PubMed Google Scholar Kock NG, Norlen L, Philipson B, Åkerlund S (1985a) The continent ileal reservoir (Kock pouch) for urinary diversion. continent urinary diversion. Continent reservoirs can be constructed of small or large bowel or a combination of the two.

Continent reservoir for urinary diversion

Since 1982 the Kock pouch has been the most frequently used continent cutaneous urinary diversion with an ileal tract. In this reservoir an intussuscepted nipple valve is used both for continent and antireflux procedures [].Skinner et al.[2, 3] modified the Kock pouch, using a Dexon collar fixation and three rows of staples to fix the valve. Continent urinary diversion methods rely on principles of physics and geometry in the construction of a spherical reservoir from the normally tubular bowel segment. The cutting of the antimesenteric edge of the bowel impairs intrinsic intestinal contractility and prevents peristaltic motion that would lead to increased filling pressure and, therefore, leakage of urine. Objective To eluciadate the importance of bacteriuria in patients with a continent urinary diversion. Patients and methods Eighteen asymptomatic patients (16 women and two men, with a meanage of 53 urinary diversions performed after radical cys-tectomy: continent and incontinent diversions.

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urostomy. the creation of continent urostomies in dogs Philipson BM 119821Urinary diversion via a.

Continent reservoir for urinary diversion

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It provides a low pressure internal reservoir.

bladder, blister; wheal, pu- stule; sound; pitch; bubble (snail).
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Continent Urinary Diversion: Indiana Pouch The creation of an intestinal reservoir with a catheterizable channel that is brought from the reservoir to the skin with creation of a stoma. The channel can be catheterized several times a day to empty the reservoir. 2010-12-01 · For continent cutaneous urinary diversion (CCUD), creation of a reservoir, ureteral implantation, and a continent stoma are required. Different bowel segments have been used to build the reservoir: ileocecum, colon (ascending, transverse, and descending), and ileum.

Thus, the proper patient to offer a continent diversion to is a highly motivated and responsible patient. The most common urinary diversions utilized today (and those Continent Urinary Diversion: Continent diversion allows a patient to urinate spontaneously without an appliance or collecting device. It is the surgical creation of an internal reservoir (under the skin) or construction of a replacement bladder. Although exposed staples may serve as a nidus for stone formation, continent urinary diversion in and of itself results in more urinary excretion of calcium, magnesium, and phosphate as compared with ileal conduit diversion (Terai et al, 1995).
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Another method of storing and eliminating urine is the continent diversion. In this method, the surgeon creates a pouch, or reservoir, inside your body from a section of your stomach or small or large intestine. The ureters carry urine to the pouch, where it is stored. Depending on the type of continent diversion, you may or may not have a stoma.

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This is now where urine is stored in the body. The most common continent ileostomy for urinary diversion is the Kock pouch. Kock first reported this reservoir for urinary diversion in 1975 . However, when using this reservoir for urinary diversion, Kock transferred his work on “ileal low pressure pouches” in patients with proctocolectomy, published in 1969 , to the urinary tract. The Another method of storing and eliminating urine is the continent diversion.

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victed, -ställa^ — — continent. firmly, fast; nearly, almost, steadiness. gerous.

continent urinary diversion. Continent reservoirs can be constructed of small or large bowel or a combination of the two. Principles for successful diversion include the opening From August 1982 through March 1988, 531 patients underwent continent urinary diversion via a Kock reservoir at our institution. Of these, 39 males had a Kock bladder substitution, while the rest Norlen L, Kock NG, Sundin T (1974) Cutaneous urinary diversion via a continent ileum reservoir. An experimental study in dogs. Lakaresällskapets Riksstämma, Stockholm Perl JI (1949) Intussuscepted conical valve formation in jejunostomies.