Ileum conduit is a good method for supravesical diversion of urine. The disadvantage is, however, that it does not have a reservoir function. For the first time, in 1969 Kock had shown good resultswith acontinent intra-abdominal ileumpouch for feces, and this gave us the idea to try a similar pouch for urine on 15 dogs. To make reservoirs of the small intestine was technically not simple and often led to complications. Urine continency could be attained by invagination of the small intestine. Primary and secondary reflux as well as stenoses of the ureter implantations led in 50% of the cases to ascending infections. Complications of urine reabsorption did not occur. Further studies of the continency, reflux and reabsorption problems indicate that a continent, intraabdominal ileum pouch for urine will be possible.

Keywords:
Ileum conduit, Supravesical urine diversion, Bladder substitution, Continent urine reservoir, Primary and secondary reflux, Ascending infection, Urine reabsorption, Continency by ileum invagination, Continent intraabdominal ileum pouch
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© 1975 S. Karger AG, Basel
1975
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