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Preliminary Report of a Modified Continent Appendix Stoma in a Sigmoid Urinary Reservoir Pouch
Author(s) -
Arakawa Soichi,
Gohji Kazuo,
Hara Isao,
Fujisawa Masato,
Okada Hiroshi,
Kamidono Sadao
Publication year - 1998
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.1998.tb00257.x
Subject(s) - medicine , sigmoid function , pouch , appendix , stoma (medicine) , urinary diversion , general surgery , surgery , geology , paleontology , cystectomy , artificial intelligence , bladder cancer , cancer , artificial neural network , computer science
Background: The application of an appendix stoma in a Mainz urinary reservoir pouch is an established procedure and assures good continence. We modified this method for use with a sigmoid pouch. Methods: In each of 3 men with bladder carcinoma, an appendix with a blood supply was prepared and anastomosed to the detubularized sigmoid pouch with a 3‐cm submucosal tunnel. Results: In all 3 patients, this procedure was performed successfully, and the pouch was completely continent. Self‐catheterization could be performed without difficulty by 2 patients, and with slight resistance in the remaining patient. The patients are satisfied with their quality of life. Conclusions: We conclude, based on our findings and these preliminary observations, that this procedure is a potentially good alternative for the placement of continent stoma in continent urinary reservoir surgery.