The management of the Kock continent ileal reservoir urinary diversion with single pigtail self-retaining ileal conduit stents.

The use of single pigtail soft silicone self-retaining ileal conduit stents appears to have particular value in the perioperative management of patients with a Kock pouch continent urinary diversion. Stenting provides greater assurance of sustained internal urinary diversion, lessening concern regarding anastomotic leaks from the pouch itself. This technique also allows easy sequential radiographic confirmation of healing without losing the capability for continued internal drainage by these stents if necessary. A protocol for the use of such stents is described.

Duke Scholars

Author Philip John Walther Urology