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Creating a new pathway for your urine is known as urinary diversion, and the Kock pouch is one option your doctor might consider. In 1964, Dr. Nils Kock introduced the Kock pouch, also known as ...
A continent urinary diversion is a way to pass urine after you have surgery to remove your bladder (cystectomy). Your surgeon makes a new internal pouch from a section of your bowel. The pouch stores ...
This type of diversion is usually not suitable for patients who need urinary diversion from a neurogenic bladder. In a right colon pouch, a large piece of the colon is opened up and fashioned into a ...
The urine continuously passes from an opening that’s made in your abdomen, called a stoma, and into a collection pouch outside of your body. Continent urinary diversion: This type of surgery ...
This is because the surgeon removes part of your bowel to make the urinary diversion. So your bowel is shorter than before. Your bowel movements may become looser. This can improve over time but ...
A bag is affixed to the stoma, worn externally and used to collect urine. Another urinary diversion option is the use of an internal storage pouch for urine, sometimes called an Indiana pouch. Here ...
A catheter can remove urine from the pouch through a small hole called ... isolating a segment for urinary diversion and then putting the rest of the bowel back into continuity.
Urinary diversion can be performed as an ileal conduit ... ureterostomy), continent cutaneous diversions (catheterizable pouch), and continent orthotopic diversions (neobladder).
Although patients who have undergone urinary diversion surgery are prone to metabolic complications, venous drainage of a pouch enters the portal veins and is subject to a first pass effect in the ...
Radical cystectomy with urinary diversion including neobladder remains the standard of care for muscle-invasive bladder cancer. There has been a slow shift over the past 15 years toward a more ...
Heterotopic continent bladder replacement (pouch) This form of urinary diversion is used if the reservoir cannot be connected to the urethra—for example, if the urethra is affected by tumor ...
1. Jemal A, Siegel R, Xu J, Ward E: Cancer statistics 2010. CA: a cancer journal for clinicians 2010; 60: 277–300 CrossRef MEDLINE 2. Nix J, Smith A, Kurpad R, Nielsen ME, Wallen EM, Pruthi RS ...