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The indiana pouch, past and present


Authors: R. G. Rowland
Published in: Urol List 2008; 6(2): 60-66

Overview

The Indiana pouch is a time-tested continent urinary reconstruction that provides reliable results in both male and female patients. The procedure is suitable for patients with both malignant and benign indications for bladder replacement. In a wide experience, the daytime and nighttime continence rates are in the range of 95 - 98% as defined by the patient's ability to stay dry for at least 4 hours. The procedure offers patients that cannot have a neobladder an opportunity to have a continent reconstruction and avoid having to wear an ostomy appliance.

Key words:
continent urinary reservoir, continent diversion, right colonic reservoir, detubularized bowel segment


Sources

1. Simon J. Ectopia vesicae (absence of the anterior walls of the bladder and pubic abdominal perietes): Operation for directing the orifices or ureters into the rectum: Temporary success, subsequent death, autopsy. Lancet 1852; 2: 568.

2. Gilchrist RH, Merricks JW, Hamlin HH et al. Construction of a substitute bladder and urethra. Surg Gynecol Obstet 1950; 90: 752–760.

3. Ashken MH. An appliance-free ileocecal urinary diversion: Preliminary communication. Br J Urol 1974; 46: 631–638.

4. Mansson W. The continent caecal reservoir for urine. Scand J Urol Nephrol (suppl) 1984; 85: 8–40.

5. Thüroff JW, Alken P, Reidmiller H, Hoohenfellner R. The Mainz-pouch (mixed augmentation ileum 'n zecum) for bladder augmentation and continent diversion. J Urol 1986; 136: 17–26.

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7. Eckman H, Kock NG, Jacobsson B et al. The functional behavior of different types of intestinal urinary bladder substitutes in XIII Congres de la Societe Internationale d'Urologie. Paris: 1964, 2. vol: 213–217.

8. Bejany DE, Politano VA. Stapled and non-stapled tapered distal ileum for construction of continent colonic urinary reservoir. J Urol 1988; 140: 491–494.

Labels
Paediatric urologist Urology
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