CLINICAL EXPERIENCE OF KOCK CONTINENT ILEAL RESERVOIR

From December 1984, 17 patients with bladder tumor underwent Kock continent ileal reservoir for the urinary diversion. Surgical procedure was done according to the techniques of Kock and Skinner et al. Operating time ranged from 4 to 5 hours and bleeding was minimum. As the operative early complications, postoperative mortality was experienced in one patient and urinary leakage from the ileal reservoir occurred in two patients. The most difficult technique seemed to the construction of a stable nipple valve of both inner and outlet portions from the view point of late complication. As the late complications, the troubles of nipple valve were noted in 11 patients including 2 of incontinence, 8 of difficulty of catheterization and 3 of reflux. Selfcatheterization is performed every 3 to 4 hours during the day and the capacity of the pouch was about 300ml. Serum electrolytes and creatinine were within the normal ranges in all cases. Our clinical experience showed thak Kock continent ileal reservoir serves the patients urinary diversion and a better quality of life.