The results and failures of creating a pelvic reservoir in oncology (surgery, urology).

The results of abdominal and pelvic pouch operations are described in surgical and urological material. The lateral ileal pouch (Fonkalsrud) was used in 8 patients with diffuse colonic polyposis and in 4 cases of colitis ulcerosa. The second step of this two-phase operation was completed in 7 patients. Five complications were observed. One patient died of faecal peritonitis. Some sort of pouch operation was carried out in 22 patients after radical cystectomy in urological practice. The indication was tumour of the urinary bladder in 18, tuberculosis in 2 and interstitial cystitis in 2 cases. The distribution of the different types of reconstructions was as follows: Kock's pouch in 11, Mainz-pouch I in 5, and Mainz-pouch II in 6 patients. Early complications were observed in 3 cases with kock's reservoir, in 2 with Mainz I and in 2 with Mainz II intervention. Overnight incontinence appeared as a late complication in 30-60% of the cases. One of these patients died of a suture-line insufficiency after a Mainz-I substitution.