Studer U E, deKernion J B, Zimmern P E
Urol Res. 1985;13(5):243-7. doi: 10.1007/BF00261585.
Cutaneous urinary diversion requires appliances, unless a pouch and a valve mechanism are used (Kock-pouch). In order to avoid a stoma, repeated self-catheterizations, and the complications which may occur from malfunction of the distal valve, we created a modified ileal pouch with the advantages of a low-pressure system with good capacity and no reflux. By anastomosing the distal part of the reservoir to the urethra and using the male patient's own sphincter, the second nipple can be avoided and a urostoma is obviated. The feasibility of this procedure has been studied in 4 dogs.
皮肤造口尿液转流需要使用器具，除非采用了贮尿囊和瓣膜机制（科克贮尿囊）。为了避免造口、反复自我导尿以及远端瓣膜功能障碍可能引发的并发症，我们制作了一种改良的回肠贮尿囊，其具有低压系统、容量大且无反流的优点。通过将贮尿囊的远端与尿道吻合，并利用男性患者自身的括约肌，可以避免第二个乳头出现，从而消除尿路造口。此手术的可行性已在4只犬身上进行了研究。
