The curative effect observation of Indiana pouch procedure: A report of 75 cases

Objective To assess the long term effect of indiana pouch procedure after total cystectomy. Methods The Indiana-pouch procedure had been improved as follows: after the end of ureter being made as nipple-like, it was implanted into the pouch with a tunnel way under bladder mucous for more than 2.0cm at least. So there were double ways to anti-reflux of urine. The process of pouch mucous was ameliorated too. Result After being follow-ups of half a year, the mean capacity of pouch was 610ml (520-900ml) and the mean filling pressure of the pouch was 10.4+2.8cmH2O. There was no evidence of ureter reflux and hydroneophrosis. Conclusions Indiana pouch procedure is fairly good for urinary diversion with high capacity, low pressure, minimal complications and catheteritation being easy.