Continent catheterizable urinary diversion using the ileocecal segment with stapled intussusception of the ileocecal valve.
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.
Duke Scholars
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Related Subject Headings
- Urology & Nephrology
- Urinary Incontinence
- Urinary Diversion
- Urinary Catheterization
- Urinary Bladder Diseases
- Ileocecal Valve
- Humans
- 3202 Clinical sciences
- 1103 Clinical Sciences
Citation
Published In
DOI
ISSN
Publication Date
Volume
Issue
Start / End Page
Location
Related Subject Headings
- Urology & Nephrology
- Urinary Incontinence
- Urinary Diversion
- Urinary Catheterization
- Urinary Bladder Diseases
- Ileocecal Valve
- Humans
- 3202 Clinical sciences
- 1103 Clinical Sciences