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Role of the Kock Pouch in Adolescent Urology

  • J. Cumming
  • C. R. J. Woodhouse
Part of the Progress in Pediatric Surgery book series (PEDIATRIC, volume 23)

Summary

Although cutaneous urinary diversion will continue to have a place in some urological diseases, some patients may benefit from an undiversion. The Kock pouch with a continent reservoir is an alternative where conventional undiversion to the bladder is impossible. Indications, pre-operative preparation, operative technique, results and complications are outlined in detail. In the adolescent patient requiring urinary diversion the Kock pouch should be considered as the last resort. Where reconstruction of the urinary tract is impossible, a continent urinary reservoir by means of the Kock pouch may be indicated.

Keywords

Urinary Diversion Ileal Conduit Neuropathic Bladder Continent Diversion Kock Pouch 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Zusammenfassung

Obwohl die kutane Urinableitung bei manchen urologischen Erkrankungen noch ihren Stellenwert behält, ist die Rückverlagerung der kutanen Urinableitung bei manchen dieser Patienten indiziert. Hier kann ein sog. Kock-Pouch mit Kontinenz-Reservoir zur Anwendung kommen, wenn die konventionelle Rückverlagerung in die Blase nicht möglich ist. Indikation, präoperative Vorbereitung, Operations-Technik, Ergebnisse und Komplikationen sind im Detail beschrieben. Beim Adoleszenten, der eine Urinableitung benötigt, soll der Kock-Pouch als ultima ratio dienen. Wenn die Rekonstruktion des Harntraktes nicht möglich ist, kann ein Urin-Kontinenz-Reservoir mit der Kock-Pouch-Methode zur Anwendung kommen.

Résumé

Bien que l’urétrostomie cutanée continue à être employée dans le cas de certaines affections urologiques, un replacement de cet abouchement est parfois indiqué pour quelques uns de ces patients. On peut, dans ces cas, envisager une «Kock pouch», donc une poche pour recueillir les urines quand le réabouchement conventionnel dans la vessie n’est pas possible. Les auteurs traitent en détails de l’indication, du traitement préopératoire, de la technique opératoire, des résultats et des complications éventuelles. Chez les adolescents, la «Kock pouch» ne sera utilisée qu’en dernier ressort. S’il est impossible de reconstituer les voies urinaries, il faudra malgré tout mettre en place une «Kock pouch» pour recueillir les urines.

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References

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Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • J. Cumming
    • 1
  • C. R. J. Woodhouse
    • 1
  1. 1.Institute of UrologyShaftesbury HospitalLondon WC2UK

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