[Barcelona pouch. An external continent urinary diversion].

OBJECTIVES

To describe a new technique for external continent urinary diversion based on the Vesica Ileale Padovana technique (VIP) with a continent hydraulic valve, which obviates the need for external permanent collecting urinary systems.

METHODS

An ileal neobladder was created following the VIP technique to which we added a modified Benchekroun continent hydraulic valve utilizing mechanical sutures.

RESULTS

A continent heterotopic neobladder was achieved. The technique was easy to perform and permitted preservation of the upper urinary tract due to the pouch's low internal pressures.

CONCLUSIONS

In our view, this technique is a valid alternative in patients unamenable to orthotopic diversion and are able to perform self-catheterization.