[Ileal bladder substitute].

Der Urologe. Ausg. A
Richard E Hautmann

Abstract

The history of urinary diversion in general began in 1852 and started right away with continent diversion, i.e., ureterosigmoidostomy. Anastomosing an intestinal reservoir to the urethra was proposed by Tizzoni and Foggi in 1888. They replaced the bladder by an isoperistaltic ileal segment which was interposed between ureters and urethra in a female dog. In 1951 Couvelaire reactivated this idea of an ileal bladder substitute. Retrospectively many disappointing results of urinary diversion were often not caused by insufficient competence of the outlet mechanism, but because the intestinal reservoir maintained its peristaltic properties causing high pressure peaks. The decisive advance in ensuring continence, and thus an improvement in patient comfort, was achieved with the so-called low pressure reservoir. The main characteristics of this reservoir compared to those from intact intestinal segments are the larger diameter, the greater capacity with significantly low pressures, and the uncoordinated contraction of its wall. Transsection of the circular intestinal musculature when performing bladder augmentation had already been published by Rutkowski in 1899, Tasker in 1953, and Giertz in 1957. In 1969, Kock published the first re...Continue Reading

References

Jan 1, 1976·European Urology·H J LeisingerG Mayor
Jan 1, 1988·European Urology·U E StuderE J Zingg
Nov 1, 1987·The Journal of Urology·M A GhoneimA B el-Din
Dec 1, 1987·World Journal of Surgery·B Berglund, N G Kock
Feb 11, 2003·The Journal of Urology·Richard E Hautmann
Oct 1, 1953·The Journal of Urology·J CIBERT
Jul 11, 2006·World Journal of Urology·Richard E HautmannUrs E Studer

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Citations

Mar 10, 2015·The Veterinary Journal·Christopher M Fulkerson, Deborah W Knapp
Mar 13, 2016·Journal of Medical Biography·Katarzyna Pekacka-Falkowska, Halina Bogusz
May 4, 2016·The Journal of Urology·Marc A FurrerUrs E Studer

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