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Continent Cutaneous Ileostomy (Kock Pouch) prior to Renal Transplantation
Author(s) -
MARECHAL J. M.,
SANSEVERINO R.,
GELET A.,
MARTIN X.,
SALAS M.,
DUBERNARD J. M.
Publication year - 1990
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1990.tb14747.x
Subject(s) - medicine , nephrectomy , surgery , pouch , urinary diversion , transplantation , cystostomy , ileostomy , bladder augmentation , cystectomy , urinary bladder , kidney , bladder cancer , cancer
Summary— Two patients in end‐stage renal failure and with neurogenic bladders due to spina bifida complicated by myelomeningocele were considered for renal transplantation. One patient had had a right nephrectomy and urinary diversion via an ileal conduit; the other, after various external drainage procedures (cystostomy, bilateral nephrostomy), had had a tubular ileocystoplasty. Both underwent 2 surgical procedures prior to renal transplantation: in case 1 we performed a left nephrectomy and then ileal conduit removal + Kock pouch; in case 2 a bilateral nephrectomy was performed via 2 posterior incisions and then we removed the ileocystoplasty and formed the pouch. The continent ileostomy was formed according to the original technique with slight modifications. The patients have been followed up for 12 and 15 months after transplantation.