WHICH PATIENTS ARE SUITABLE FOR CONTINENT DIVERSION OR BLADDER SUBSTITUTION FOLLOWING CYSTECTOMY OR OTHER DEFINITIVE LOCAL TREATMENT

摘要: In 1982, Kock and associates, reported their experi- ence based on extensive experimental data in 12 pa- tients whom a detubularized ileal reservoir was constructed for continent urinary diversion utilizing catheterizable This report has had major impact worldwide.' A number of modifications to Kock's original description have been made reduce complications the need reoperation. Others developed reservoirs from right colon, sigmoid, stomach."*' All an effort improve quality life patient's acceptance cystectomy as primary treatment bladder cancer. mid 1980s, earlier work Camey,13 several centers began clinical trials lower tract re- construction men, with bilateral ureteroileal urethrostomy or various colonic obviates stoma intermittent catheterization. Thus, they become attractive alternatives men.