A simplified version of the 'Indiana Pouch' technique for urinary diversion: Experience of the first 18 cases

L. Ungar, Gy Solt, L. Palfalvi, P. Bosze, P. Siklos, Gy Csermely

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During the last 3 years, a modified technique of the continent urinary diversion, known as the 'Indiana pouch' has been performed in 18 patients as part of pelvic exenteration. The narrowing of the ileum and/or the site of Bauchin valve was excluded from the procedure. In order to achieve anti reflux effect, ureters were implanted to the urinary reservoir by the 'split cuff nipple' technique instead of tunnelling ureters. Sufficient urine continence and lack of urine reflux in the ureters indicated that satisfactory function could be achieved by the simplified technique. A quality of life questionnaire has suggested that most of our modified Indiana Pouch patients coped well. Operative technique, indications, operative results, and complications are discussed.

Original languageEnglish
Pages (from-to)8-11
Number of pages4
JournalEuropean Journal of Gynaecological Oncology
Issue number1
Publication statusPublished - Jan 1 1995



  • Indiana Pouch
  • Surgical technique
  • Urinary diversion

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynaecology

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