Initial experience with 10 cases of Indiana pouch continent urinary diversion

Authors

  • S.M. Mahbub Alam Department of Urology, Dhaka Medical College, Dhaka 1000, Bangladesh.
  • Md. Muzharul Hoq Department of Urology, Dhaka Medical College, Dhaka 1000, Bangladesh.
  • Monwarul Hoque Department of Urology, Chittagong Medical College. Chittagong, Bangladesh.
  • Mizanur Rahman Department of Urology, Chittagong Medical College. Chittagong, Bangladesh.

DOI:

https://doi.org/10.3329/bmrcb.v34i1.1166

Keywords:

Indiana pouch, urinary diversion

Abstract

Indiana pouch continent urinary diversion provides patient control over elimination of urine with periods of dryness. This allows emptying of urine from the pouch by catheter at convenient intervals avoiding major metabolic abnormalities with satisfactory renal function. Detubularization of the ascending colon and caecum with tapering of the terminal ileum and tunneled tenial implants of the ureters have resulted continent cutaneous urinary reservoir. In total 10 patients were included and follow-up period was for a period of 6 months to 5 years. One year after surgery overall day and night continence rate was in 70% patients, some leakage at day and night in 30% cases and no patient developed day or night incontinence. The mean capacity of the pouch was 530 ml at 12-18 months. Pouch pressure at full capacity was 16 cm H20 at 18 months.  Indiana pouch provides better attention for urinary diversion in developing countries as it is well accepted, economically more suitable and relatively easy to construct, with good results in terms of continence and reduced complications with satisfactory renal function.

Keywords: Indiana pouch; urinary diversion

DOI: 10.3329/bmrcb.v34i1.1166

Bangladesh Med Res Counc Bull 2008; 34: 21-25

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How to Cite

Alam, S. M., Hoq, M. M., Hoque, M., & Rahman, M. (2008). Initial experience with 10 cases of Indiana pouch continent urinary diversion. Bangladesh Medical Research Council Bulletin, 34(1), 21–25. https://doi.org/10.3329/bmrcb.v34i1.1166

Issue

Vol. 34 No. 1 (2008)

Section

Research Papers

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