Fluorourodynamic and clinical evaluation in males following construction of a Kock ileal-urethral reservoir

Eric A Kurzrock, Nickolas A. Tomasic, Salman S. Razi, Donald G. Skinner, Carol J. Bennett

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives: Since 1986, we have offered the option of lower urinary tract reconstruction with the Kock ileal-urethral reservoir in selected male patients requiring diversion. This study provides insight into the functional characteristics of the Kock ileal-urethral reservoir and its effect on continence. Methods: Twenty-four of the initial 225 male patients undergoing this procedure at our institution were evaluated by fluorourodynamics within 2 years of neobladder construction. Information regarding continence was also obtained by means of a patient interview and questionnaire. Results: The average resting neobladder pressure was 8.5 cm H2O (range, 0 to 18). Reservoir capacity averaged 741 cc (range, 225 to 1400). Afferent nipple failure with bilateral grade II vesicoureteral reflux was noted in 1 patient (4%). Unsatisfactory daytime continence was seen in 2 patients (8%). Unsatisfactory nighttime continence was seen in 6 patients (25%). Patient satisfaction was high with an average rating of 8.6 on a scale of 1 to 10. Conclusions: Fluorourodynamic data demonstrate a low-pressure, high-capacity reservoir with a low incidence of reflux. The rate of continence is acceptable and patient satisfaction is excellent. The Kock ilealurethral reservoir is an excellent alternative to standard diversion for the male patient undergoing cystectomy.

Original languageEnglish (US)
Pages (from-to)801-803
Number of pages3
JournalUrology
Volume46
Issue number6
DOIs
StatePublished - 1995
Externally publishedYes

Fingerprint

Colonic Pouches
Patient Satisfaction
Pressure
Vesico-Ureteral Reflux
Nipples
Cystectomy
Urinary Tract
Interviews
Incidence

ASJC Scopus subject areas

  • Urology

Cite this

Fluorourodynamic and clinical evaluation in males following construction of a Kock ileal-urethral reservoir. / Kurzrock, Eric A; Tomasic, Nickolas A.; Razi, Salman S.; Skinner, Donald G.; Bennett, Carol J.

In: Urology, Vol. 46, No. 6, 1995, p. 801-803.

Research output: Contribution to journalArticle

Kurzrock, Eric A ; Tomasic, Nickolas A. ; Razi, Salman S. ; Skinner, Donald G. ; Bennett, Carol J. / Fluorourodynamic and clinical evaluation in males following construction of a Kock ileal-urethral reservoir. In: Urology. 1995 ; Vol. 46, No. 6. pp. 801-803.
@article{74c7f8ad332f434db9a1191d49083e5f,
title = "Fluorourodynamic and clinical evaluation in males following construction of a Kock ileal-urethral reservoir",
abstract = "Objectives: Since 1986, we have offered the option of lower urinary tract reconstruction with the Kock ileal-urethral reservoir in selected male patients requiring diversion. This study provides insight into the functional characteristics of the Kock ileal-urethral reservoir and its effect on continence. Methods: Twenty-four of the initial 225 male patients undergoing this procedure at our institution were evaluated by fluorourodynamics within 2 years of neobladder construction. Information regarding continence was also obtained by means of a patient interview and questionnaire. Results: The average resting neobladder pressure was 8.5 cm H2O (range, 0 to 18). Reservoir capacity averaged 741 cc (range, 225 to 1400). Afferent nipple failure with bilateral grade II vesicoureteral reflux was noted in 1 patient (4{\%}). Unsatisfactory daytime continence was seen in 2 patients (8{\%}). Unsatisfactory nighttime continence was seen in 6 patients (25{\%}). Patient satisfaction was high with an average rating of 8.6 on a scale of 1 to 10. Conclusions: Fluorourodynamic data demonstrate a low-pressure, high-capacity reservoir with a low incidence of reflux. The rate of continence is acceptable and patient satisfaction is excellent. The Kock ilealurethral reservoir is an excellent alternative to standard diversion for the male patient undergoing cystectomy.",
author = "Kurzrock, {Eric A} and Tomasic, {Nickolas A.} and Razi, {Salman S.} and Skinner, {Donald G.} and Bennett, {Carol J.}",
year = "1995",
doi = "10.1016/S0090-4295(99)80347-1",
language = "English (US)",
volume = "46",
pages = "801--803",
journal = "Urology",
issn = "1527-9995",
publisher = "Elsevier Inc.",
number = "6",

}

TY - JOUR

T1 - Fluorourodynamic and clinical evaluation in males following construction of a Kock ileal-urethral reservoir

AU - Kurzrock, Eric A

AU - Tomasic, Nickolas A.

AU - Razi, Salman S.

AU - Skinner, Donald G.

AU - Bennett, Carol J.

PY - 1995

Y1 - 1995

N2 - Objectives: Since 1986, we have offered the option of lower urinary tract reconstruction with the Kock ileal-urethral reservoir in selected male patients requiring diversion. This study provides insight into the functional characteristics of the Kock ileal-urethral reservoir and its effect on continence. Methods: Twenty-four of the initial 225 male patients undergoing this procedure at our institution were evaluated by fluorourodynamics within 2 years of neobladder construction. Information regarding continence was also obtained by means of a patient interview and questionnaire. Results: The average resting neobladder pressure was 8.5 cm H2O (range, 0 to 18). Reservoir capacity averaged 741 cc (range, 225 to 1400). Afferent nipple failure with bilateral grade II vesicoureteral reflux was noted in 1 patient (4%). Unsatisfactory daytime continence was seen in 2 patients (8%). Unsatisfactory nighttime continence was seen in 6 patients (25%). Patient satisfaction was high with an average rating of 8.6 on a scale of 1 to 10. Conclusions: Fluorourodynamic data demonstrate a low-pressure, high-capacity reservoir with a low incidence of reflux. The rate of continence is acceptable and patient satisfaction is excellent. The Kock ilealurethral reservoir is an excellent alternative to standard diversion for the male patient undergoing cystectomy.

AB - Objectives: Since 1986, we have offered the option of lower urinary tract reconstruction with the Kock ileal-urethral reservoir in selected male patients requiring diversion. This study provides insight into the functional characteristics of the Kock ileal-urethral reservoir and its effect on continence. Methods: Twenty-four of the initial 225 male patients undergoing this procedure at our institution were evaluated by fluorourodynamics within 2 years of neobladder construction. Information regarding continence was also obtained by means of a patient interview and questionnaire. Results: The average resting neobladder pressure was 8.5 cm H2O (range, 0 to 18). Reservoir capacity averaged 741 cc (range, 225 to 1400). Afferent nipple failure with bilateral grade II vesicoureteral reflux was noted in 1 patient (4%). Unsatisfactory daytime continence was seen in 2 patients (8%). Unsatisfactory nighttime continence was seen in 6 patients (25%). Patient satisfaction was high with an average rating of 8.6 on a scale of 1 to 10. Conclusions: Fluorourodynamic data demonstrate a low-pressure, high-capacity reservoir with a low incidence of reflux. The rate of continence is acceptable and patient satisfaction is excellent. The Kock ilealurethral reservoir is an excellent alternative to standard diversion for the male patient undergoing cystectomy.

UR - http://www.scopus.com/inward/record.url?scp=0028848560&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028848560&partnerID=8YFLogxK

U2 - 10.1016/S0090-4295(99)80347-1

DO - 10.1016/S0090-4295(99)80347-1

M3 - Article

VL - 46

SP - 801

EP - 803

JO - Urology

JF - Urology

SN - 1527-9995

IS - 6

ER -