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• W66465064 abstract "No AccessJournal of Urology1 Oct 1989Functional Characteristics of the Continent Ileocecal Urinary Reservoir: Mechanisms of Urinary Continence Peter R. Carroll, Joseph C. Presti, Jack W. McAninch, and Emil A. Tanagho Peter R. CarrollPeter R. Carroll More articles by this author , Joseph C. PrestiJoseph C. Presti More articles by this author , Jack W. McAninchJack W. McAninch More articles by this author , and Emil A. TanaghoEmil A. Tanagho More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)38979-6AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We evaluated urodynamically 14 patients with a continent ileocecal urinary reservoir. Reservoirs were constructed of detubularized right colon alone (4 patients), or augmented with ileum (2) or with a U-shaped ileal patch (8). All reservoirs were placed in the abdomen and used plicated terminal ileum as the efferent continence mechanism. Twelve patients are completely continent with intermittent catheterization at 4 to 8-hour intervals. Two patients suffer mild nighttime incontinence. Mean reservoir volume was 675ml. Intermittent intestinal contractions were noted in the plicated ileal segment and reservoir but they occurred more frequently in the former and were either synchronous with or preceded those in the reservoir. Mean and maximal contraction pressures were 24 and 47cm. water, respectively, in the reservoir and 40 and 151cm. water, respectively, in the plicated ileal segment (p equals 0.043 and less than 0.001, respectively). The highest reservoir contractions occurred in the 2 patients with nocturnal incontinence. The method of construction bore no consistent correlation with mean or maximal contraction pressures, contraction frequency or continence. Careful urodynamic assessment suggests that the ileocecal urinary reservoir is a relatively low pressure, nonrefluxing and continent bladder substitute. The plicated terminal ileal segment acts as an effective sphincter that responds to pressure elevations in the reservoir. Its simple construction and easy catheterization make it an attractive alternative to intussuscepted ileal segments. © 1989 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByIzes J, Bihrle W and Bihrle R (2018) ILEOCECAL VALVE RESISTANCE AUGMENTATION USING GLUTARALDEHYDE CROSS-LINKED COLLAGEN: A CANINE MODEL FOR ENDOSCOPIC SALVAGE OF THE LEAKING INDIANA RESERVOIRJournal of Urology, VOL. 158, NO. 4, (1369-1371), Online publication date: 1-Oct-1997.Arai Y, Kawakita M, Terachi T, Oishi K, Okada Y, Takeuchi H and Yoshida O (2018) Long-Term Followup of the Kock and Indiana Pouch ProceduresJournal of Urology, VOL. 150, NO. 1, (51-55), Online publication date: 1-Jul-1993.Hinman F (2018) Functional Classification of Conduits for Continent DiversionJournal of Urology, VOL. 144, NO. 1, (27-30), Online publication date: 1-Jul-1990.Leonard M, Gearhart J and Jeffs R (2018) Continent Urinary Reservoirs in Pediatric Urological PracticeJournal of Urology, VOL. 144, NO. 2 Part 1, (330-333), Online publication date: 1-Aug-1990. Volume 142Issue 4October 1989Page: 1032-1036 Advertisement Copyright & Permissions© 1989 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Peter R. Carroll More articles by this author Joseph C. Presti More articles by this author Jack W. McAninch More articles by this author Emil A. Tanagho More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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• W66465064 title "Functional Characteristics of the Continent Ileocecal Urinary Reservoir: Mechanisms of Urinary Continence" @default.
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