Lower urinary tract reconstruction in the female using the kock ileal reservoir with bilateral ureteroileal urethrostomy: Update of continence results and fluorourodynamic findings

• Published in: Urology (Ridgewood, N.J.) N.J.), 1996-09, Vol.48 (3), p.383-388
• Main Authors: Grossfeld, Gary D., Stein, John P., Bennett, Carol J., Ginsberg, David A., Boyd, Stuart D., Lieskovsky, Gary, Skinner, Donald G.
• Format: Article
• Language: English
• Subjects: Adult; Aged; Biological and medical sciences; Cystectomy; Female; Follow-Up Studies; Humans; Ileum - surgery; Medical sciences; Middle Aged; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the urinary system; Ureter - surgery; Urethra - surgery; Urinary Bladder Neoplasms - mortality; Urinary Bladder Neoplasms - surgery; Urinary Reservoirs, Continent - methods; Urodynamics
• ISSN: 0090-4295; 1527-9995
• DOI: 10.1016/S0090-4295(96)00165-3

Abstract To update continence results and present fluorourodynamic data in 17 female patients undergoing orthotopic lower urinary tract reconstruction with the Kock ileal urethrostomy following cystectomy. Continence results, voiding pattern, and overall patient satisfaction were evaluated by means of patient survey. Fluorourodynamic data and abdominal leak point pressures were obtained in 6 patients. Complete daytime urinary continence was reported in 93% of patients, whereas complete nighttime continence was reported by 87% of patients. Fluorourodynamic studies demonstrated excellent neobladder capacity with low reservoir pressure in all cases. Abdominal leak point pressure measurements confirmed normal urethral sphincter function. Excellent results with respect to urinary continence, voiding pattern, patient satisfaction, and reservoir function can be expected in women undergoing orthotopic lower urinary tract reconstruction.