Urinary diversion using the Kock ileal reservoir in patients with irradiated bowel.

The creation of a Kock ileal reservoir is the most common method of continent urinary diversion. The procedure utilizes a metre of distal small bowel. Preoperative pelvic irradiation in patients who are to undergo radical cystectomy for invasive bladder cancer frequently results in thickening of the bowel and its mesentery. This change makes construction of the Kock reservoir somewhat more difficult and could theoretically increase the …