Continent Urinary Reservoir with Intussuscepted Valve Mechanism: How I Do It?

The aim of our work was to show our new simple and reproducible technique of reconstructing the valve mechanism of continent urinary reservoir, as a possible safe alternative or additive to other techniques. Single 50 cm of ileum is isolate and folded into 3 segments; the afferent limb of which will be the one used for the valve mechanism and used for patients’ catheterization. Double-walled intussusception was used to create the valve mechanism. Our technique was easy and reproducible with no immediate postoperative complications. The pouch could be easily catheterizable by the patients with no daytime leak and minimal or no night time leak. Double-walled intussuscepted ileum is a safe and reproducible technique to create the valve mechanism of continent urinary reservoir.