Continent urinary diversion in children and the Indiana Pouch

R. C. Rink, R. Bihrle

Research output: Contribution to journalReview article

1 Scopus citations


With acceptance of clean intermittent catheterization as a means to provide bladder emptying, all that is necessary to replace the lower urinary tract is construction of a storage vesicle. Three separate components are necessary to create a satisfactory urinary reservoir: 1) a compliant storage vesicle with adequate volume 2) a continence mechanism and 3) a means to prevent reservoir-ureteral reflux. With these components in mind, the types of continent urinary reservoirs are limited only by the surgeon's imagination and the types of bowel available for reconstruction in a given patient. Here in, patient selection, and achievement of these components is discussed. Emphasis is placed on the Indiana Pouch.

Original languageEnglish (US)
Pages (from-to)663-675
Number of pages13
JournalProblems in Urology
Issue number4
StatePublished - Jan 1 1990

ASJC Scopus subject areas

  • Urology

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