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A sufficient and easily catheterizable continence mechanism is essential in continent cutaneous pouches. Kälble embedded a tapered ileum as efferent segment into a serosal lined tunnel formed by an ileal 'U' according to the principle of Abol-Enein and Ghoneim. We report a modified technique applied in a series of 12 patients who had undergone different urinary diversions.

urologia internationalis

Evoluting the Invaginated – One Step Closer to the Perfect Valve Modified Serosal Lined Tapered Ileum (Kälble’s Procedure) as a Continence Mechanism for Catheterizable Pouches