Abstract
For more than a century surgeons have tried to devise an ideal method for urinary diversion. The ideal urinary diversion should substitute for the functions of the lower urinary tract without jeopardising the integrity of the upper urinary tract. Thus, the following requirements should be fulfilled:
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1.
Collection and storage of urine should occur under low pressure.
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2.
The substitute should provide continence and be easy to empty at convenient intervals.
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3.
Reflux to the upper urinary tract must be avoided.
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4.
Storage of urine should not imply metabolic disturbances.
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References
Ashken MH (1982) Urinary diversion. Springer, Berlin Heidelberg New York
Berglund B, Kock NG, Myrvold HE (1984) Volume capacity and pressure characteristics of the continent ileostomy reservoir. Scand J Gastroenterol 19: 683–690
Berglund B, Kock NG, Myrvold E (1986) The volume capacity and pressure characteristics of the continent cecal reservoir. Surg Gynecol Obstet 163: 42–48
Berglund B, Kock NG, Norlén L, Philipson BM (1987) Volume capacity and pressure characteristics of the continent ileal reservoir in urinary diversion. J Urol 137: 29
Ekman H, Kock NG, Jacobsson B, Sundin T (1964) The functional behaviour of different types of intestinal urinary bladder substitutes. Congr Soc Int Urol 2: 213–217
Faxén NA, Kock NG, Sundin T (1973) Long-term functional results after ileocystoplasty. Scand J Urol Nephrol 7: 127–130
Hansson HA, Kock NG, Norlén L et al. (1978) Morphological observation in pedicled ileal grafts used for construction of continent reservoirs for urine. Scand J Urol Nephrol [Suppl] 49: 49–61
Hedlund H, Lindstròm K, Mànsson W (1984) Dynamics of a continent caecal reservoir for urinary diversion. Br J Urol 54: 505
Hòckenstròm T, Kock NG, Norlén L, Åhrén C, Philipson BM (1986) Morphologic changes in ileal mucosa after long-term exposure to urine. A study in patients with continent urostomy (Kock pouch). Scand J Gastroenterol 21: 1224–34
Jagenburg R, Kock NG, Norlén L, Trasti H (1978) Clinical significance of changes in composition of urine during collection and storage in continent ileum reservoir urinary diversion. Scand J Urol Nephrol [Suppl] 49: 43–48
Kock NG (1969) Intra-abdominal “reservoirs” in patients with permanent ileostomy. Preliminary observations on a procedure resulting in fecal “continence” in 5 ileostomy patients. Arch Surg 99: 223–231
Kock NG, Nilson AE, Norlén L, Sundin T, Trasti H (1978a) Changes in renal parenchyma and the upper urinary tracts following urinary diversion via a continent ileum reservoir. Scand J Urol Nephrol [Suppl] 49: 11–22
Kock NG, Nilson AE, Nörten L, Sundin T, Trasti H (1978b) Urinary diversion via a continent ileum reservoir: clinical experience. Scand J Urol Nephrol [Suppl] 49: 23–31
Kock NG, Nilson AE, Nilsson LO, Norlen LJ, Philipson BM (1982) Urinary diversion via a continent ileal reservoir: clinical results in 12 patients. J Urol 128: 469–475
Kock NG, Norlen L, Philipson B, Åkerlund S (1985a) The continent ileal reservoir (Kock pouch) for urinary diversion. World J Urol 3: 146–151
Kock NG, Nörten LJ, Philipson BM (1985b) Management of complications after construction of a continent ileal reservoir for urinary diversion. World J Urol 3: 152–154
Mänsson W (1984) The continent caecal reservoir for urine. Scand J Urol Nephrol [Suppl] 85:1–137
Norlen L, Trasti H (1978) Functional behaviour of the continent ileum reservoir for urinary diversion. Scand J Urol Nephrol [Suppl] 49: 33–42
Philipson BM, Nilsson LO, Norlen L, Kock NG, Åhrén C (1982) Mucosal adaptation in ileum after long-time exposure to urine: a study in patients with continent urostomy. In: Robinson JWL, Dowling RH, Riecken EH (eds) Mechanisms of intestinal adaptation. MIT Press, Lancaster, pp 613–620
Philipson BM, Kock NG, Jagenburg R et al. (1983) Functional and structural studies of ileal reservoirs used for continent urostomy and ileostomy. Gut 24: 392–398
Philipson BM, Kock NG, Norlen L et al. (1986) Ultrastructural and histochemical changes in ileal reservoir mucosa after long-term exposure to urine. A study in patients with continent urostomy (Kock pouch). Scand J Gastroenterol 21: 1235–1244
Skinner DG, Boyd SD, Lieskovsky G (1984) Clinical experience with the Kock continent ileal reservoir for urinary diversion. J Urol 132: 1101–1107
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© 1988 Springer-Verlag Berlin Heidelberg
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Norlén, L.J., Philipson, B.M., Kock, N.G. (1988). The Continent Ileal Reservoir (Kock Pouch) in Urinary Diversion. In: Gingell, J.C., Abrams, P.H. (eds) Controversies and Innovations in Urological Surgery. Clinical Practice in Urology. Springer, London. https://doi.org/10.1007/978-1-4471-3142-7_29
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DOI: https://doi.org/10.1007/978-1-4471-3142-7_29
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