Transurethral continent ileal reservoir

A total of 8 patients underwent radical cystectomy and creation of transurethral continent ileal reservoir from march 1988 to december,1988.Of these 8 patients,7 achieved the complete voluntary contronl over the transurethral urination and complete avoidance of any stoma. The reflux was prevented by the interssuscepted nipple valve in the first few cases.Interssuscepted valve was slipped in one of the 2 cases.On the basis of experimental study,the new method of the reflux-preventing has been made which included longitudinally ileal-folding and the external fixition of the extremitis.All of the 6 patients undergone the new method acquired good results during the initial postoperative follw-up.This paper presents the merhod of the operation.