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

Abstract:

OBJECTIVES: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. METHODS: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. RESULTS: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. CONCLUSIONS: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.

journal_name

Urology

journal_title

Urology

authors

Grossfeld GD,Stein JP,Bennett CJ,Ginsberg DA,Boyd SD,Lieskovsky G,Skinner DG

doi

10.1016/S0090-4295(96)00165-3

subject

Has Abstract

pub_date

1996-09-01 00:00:00

pages

383-8

issue

3

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(96)00165-3

journal_volume

48

pub_type

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