The Kock pouch

Initial experience and complications

W Waters, D. J. Vaughan, R. G. Harris, S. M. Brady

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

The modified Kock continent internal reservoir procedures has been performed on 15 patients at our medical center since December 1984: 13 underwent simultaneous anterior exenteration for pelvic malignancy, 1 had conversion from an ileal conduit and 1 underwent cystectomy for refractory interstitial cystitis. There was no operative mortality. There were 3 early complications: a urinary leak from the pouch in 2 patients that required re-exploration to close the defect, and an enteric-Koch pouch fistula in 1 that required resection of the small bowel fistula and repair of the pouch defect. All 3 patients are doing well. The late complication in 3 cases was urinary incontinence of the efferent nipple valve with difficulty in catheterization of the stoma. Two patients have undergone revision with a new efferent nipple valve added on to the pouch and creation of a new stoma. One patient is completely dry and continent, 1 has tolerable intermittent leakage and refuses a further operation, and 1 is awaiting revision. Although the initial experience is small, we are encouraged by these results and believe that this procedure is an alternative form of urinary diversion for the properly selected patient.

Original languageEnglish (US)
Pages (from-to)1151-1153
Number of pages3
JournalJournal of Urology
Volume137
Issue number6
DOIs
StatePublished - Jan 1 1987
Externally publishedYes

Fingerprint

Colonic Pouches
Urinary Diversion
Nipples
Fistula
Pelvic Exenteration
Interstitial Cystitis
Cystectomy
Urinary Incontinence
Catheterization
Mortality
Neoplasms

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

The Kock pouch : Initial experience and complications. / Waters, W; Vaughan, D. J.; Harris, R. G.; Brady, S. M.

In: Journal of Urology, Vol. 137, No. 6, 01.01.1987, p. 1151-1153.

Research output: Contribution to journalArticle

Waters, W ; Vaughan, D. J. ; Harris, R. G. ; Brady, S. M. / The Kock pouch : Initial experience and complications. In: Journal of Urology. 1987 ; Vol. 137, No. 6. pp. 1151-1153.
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