All existing forms of continent urinary reservoir utilize either ileum alone, or ileum in combination with right colon. Patients who have received prior pelvic irradiation with resultant injury to the terminal ileum and/or cecum are often not good candidates for a continent urinary reservoir. For patients who are highly desirous of continent diversion, but are excluded on the basis of prior pelvic irradiation, we have developed a transverse colon-gastric tube composite reservoir. The technique and clinical results of the first four patients undergoing construction of a transverse colon-gastric tube urinary reservoir are presented. Indications, as well as possible modifications of this procedure, are discussed.
|Original language||English (US)|
|Number of pages||7|
|Journal||Problems in Urology|
|State||Published - Jan 1 1991|
ASJC Scopus subject areas