Continent catheterizable urinary diversion using the ileocecal segment with stapled intussusception of the ileocecal valve.

Journal Article

A continent ileocecal reservoir was created as an alternative to ileal loop urinary diversion in 7 patients. In 3 patients the bladder neck was closed, the in situ bladder was augmented and a continent stoma was formed by intussusception of the ileocecal valve. In the remaining 4 patients an isolated cecal reservoir with a continent stoma replaced the bladder. Creation of a stoma that was continent and easy to catheterize was achieved by intussusception of the ileocecal valve with stabilization of the intussuscepted nipple using a Marlex collar. In most cases the cecal segment was hyperactive but this was controlled with anticholinergic medication. All 7 patients have a satisfactory capacity and a continent stoma without significant catheterization difficulties.

Full Text

Duke Authors

Cited Authors

  • Webster, GD; Bertram, RA

Published Date

  • March 1, 1986

Published In

Volume / Issue

  • 135 / 3

Start / End Page

  • 465 - 469

PubMed ID

  • 3944887

International Standard Serial Number (ISSN)

  • 0022-5347

Language

  • eng

Conference Location

  • United States