HEMI-KOCK RECONSTRUCTION FOLLOWING CYSTECTOMY - EXPERIENCE AND RESULTS FROM A SMALL UROLOGICAL UNIT

Between December 1988 and January 1992, 11 men underwent lower urinary tract reconstruction by means of the hemi-Kock ileal reservoir follow ing radical cystoprostatectomy (ten patients) and subtotal cystectomy (one patient). Six of the 11 patients developed an early postoperative complication, with a fatal outcome in two of them. One patient succum bed to subarachnoidal bleeding and one to septic shock. During the fol low-up, another two men died of advanced bladder carcinoma. The late c omplication rate was low. Most patients regained their continence with in six months. A good continence was achieved in all the nine remainin g patients during the day and in six of them at night. This experience suggests that the hemi-Kock reservoir is a useful method for the urin ary tract reconstruction following cystectomy.