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 language||English (US)|
|Number of pages||13|
|Journal||Problems in Urology|
|State||Published - Jan 1 1990|
ASJC Scopus subject areas