Abstract

M. 1. Keogan1, L. Carr2, V. 6. McDermott1, R. A. Leder1, 6. E. Webster2 A range of surgical procedures has . been developed to achieve continent urinary diversion in patients who have had extensive resection of the bladder for benign (e.g., neuropathic bladder) or malignant conditions [1, 2]. The continent reservoirs may be reconstructed from ascending colon, small bowel, or both. Although many reservoirs have been described, two types predominate: continent cutaneous diversions, where urine drains through a continent abdominal wall stoma (e.g., Kock or ascending colon pouches); and orthotopic neobladders, where the neobladder is anastomosed to native urethra (e.g., hemi-Kock pouch) and the patient preserves native urinary function. This essay describes the normal appearance of the most commonly encountered continent urinary pouches and illustrates typical complications.

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