Clinical Observation in 11 Modified Kock Continent Ileal Reservoirs / 대한비뇨기과학회지

ABSTRACT

From August l985 through June l987, ll patients were performed urinary diversion with Skinner`s modified Kock continent ileal reservoir. Postoperative follow up presently is between 2 months and 20 months. The following results were obtained. l. This operation was performed in 9 bladder cancers, I vesicovaginal fistula and l neurogenic bladder. 2. Early complications were acute pyelonephritis, wound infection, urine leakage of reservoir difficult self catheterization, acute renal failure, hepatic dysfunction and ileocutaneous fistula. 3. Late complications were asymptomatic bacteriuria, stone formation in reservoir, intestinal obstruction, incontinence and ureteral reflux. 4. Surgical management was applied for correction of incontinence or difficult self catheterization but the latter patient died of acute renal failure. 5. Progressive renal deterioration, metabolic disturbance, nutritional deficiency and electrolyte imbalance not been encountered in any cases.