caa a22 4500 465752799 CHVBK 20180323111838.0 cr unu---uuuuu 170327e19900601xx s 000 0 eng 10.1007/BF01576361 doi (NATIONALLICENCE)springer-10.1007/BF01576361 A modified procedure for construction of a Kock continent ileal urinary reservoir: Nonafferent limb procedure [Elektronische Daten] [Hidenobu Yamamoto, Masaaki Nakazono, Tadashi Yamamoto, Masamichi Hagiwara] Summary: A modified technique for the construction of a Kock continent ileal urinary reservoir (Koch pouch) is reported. Our procedure avoids the afferent limb mechanism by direct uretero-pouch anastomosis using the Le Duc-Camey procedure; the nipple valve of the efferent limb is fixed directly to the pouch wall by the King procedure. This modified procedure was used in five patients with invasive bladder cancer, and the postoperative condition of the urinary tracts were periodically evaluated by image diagnostic techniques. Neither hydronephrosis nor hydroureter was observed during the study period. Pouchography and pouchometry were done in all cases studied; no pouch-ureteral reflux was observed, and both day-and night-time continence were maintained in all cases. No patient has thus far had problems with selfcatheterization. This modified technique could be a promising operative approach for the construction of a continent ileal urinary reservoir. Springer-Verlag, 1990 Yamamoto Hidenobu Department of Urology, Ohtawara Red Cross Hospital, 2-7-3 Sumiyoshi, 324, Ohtawara, Tochigi, Japan aut Nakazono Masaaki Tochigi Cancer Center, 4-9-13 Yonan, 320, Utsunomiya, Tochigi, Japan aut Yamamoto Tadashi National Tochigi Hospital, 1-10-37 Nakatomatsuri, 320, Utsunomiya Tochigi, Japan aut Hagiwara Masamichi Tochigi Cancer Center, 4-9-13 Yonan, 320, Utsunomiya, Tochigi, Japan aut World Journal of Urology Springer-Verlag 8/2(1990-06-01), 118-121 0724-4983 8:2<118 1990 8 345 https://doi.org/10.1007/BF01576361 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01576361 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yamamoto Hidenobu Department of Urology, Ohtawara Red Cross Hospital, 2-7-3 Sumiyoshi, 324, Ohtawara, Tochigi, Japan aut NATIONALLICENCE 700 1- Nakazono Masaaki Tochigi Cancer Center, 4-9-13 Yonan, 320, Utsunomiya, Tochigi, Japan aut NATIONALLICENCE 700 1- Yamamoto Tadashi National Tochigi Hospital, 1-10-37 Nakatomatsuri, 320, Utsunomiya Tochigi, Japan aut NATIONALLICENCE 700 1- Hagiwara Masamichi Tochigi Cancer Center, 4-9-13 Yonan, 320, Utsunomiya, Tochigi, Japan aut NATIONALLICENCE 773 0- World Journal of Urology Springer-Verlag 8/2(1990-06-01), 118-121 0724-4983 8:2<118 1990 8 345 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer