BELLEVUE POUCH - ILEOCOLONIC CONTINENT URINARY RESERVOIR

The technique for the Bellevue Pouch, another continent intestinal res ervoir, is described. A large-capacity low-pressure reservoir is creat ed from detubularized ascending colon, cecum, and terminal ileum. Cont inence is achieved by means of an intussuscepted segment of ileum and a modulating colonic pressure cuff wrapped around it. The operation ha s been performed on 19 patients, all of whom achieved satisfactory con tinence. Two patients were converted to free drainage systems at a lat er date. Average follow-up was twenty-five months.