J P Stein1, D G Skinner. 1. Department of Urology, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles 90089, USA.
Abstract
PURPOSE: As the evolution of lower urinary tract reconstruction continues, newer and improved forms of urinary diversion have developed. Critical components of continent urinary reservoirs included an antireflux and continent mechanism that is effective, durable, easily constructed, and associated with little morbidity. MATERIALS AND METHODS: We describe the flap valve known as the T-mechanism as it applies to an afferent antireflux mechanism in an orthotopic ileal reservoir (T-pouch) and as an antireflux and efferent continence mechanism in the continent cutaneous ileal reservoir (double T-pouch). CONCLUSIONS: We believe the T-mechanism is an extremely effective and versatile flap-valve technique that can be easily learned and applied to the construction of continent urinary diversions.
PURPOSE: As the evolution of lower urinary tract reconstruction continues, newer and improved forms of urinary diversion have developed. Critical components of continent urinary reservoirs included an antireflux and continent mechanism that is effective, durable, easily constructed, and associated with little morbidity. MATERIALS AND METHODS: We describe the flap valve known as the T-mechanism as it applies to an afferent antireflux mechanism in an orthotopic ileal reservoir (T-pouch) and as an antireflux and efferent continence mechanism in the continent cutaneous ileal reservoir (double T-pouch). CONCLUSIONS: We believe the T-mechanism is an extremely effective and versatile flap-valve technique that can be easily learned and applied to the construction of continent urinary diversions.
Authors: Bernhard Liedl; Wael Y Khoder; Brigitte Ruhdorfer-Metz; Christian G Stief; Raphaela Waidelich Journal: Int Urogynecol J Date: 2014-03-15 Impact factor: 2.894