[The Indiana pouch continent cutaneous urinary diversion].

Initially, the procedure was simply an ileo-caecal segment, as it was thought that peristalsis of the terminal ileum and the ileo-caecal valve accounted for continence. The Rowland group made some modifications, using 8-10 cm of terminal ileum and 30 cm of caecum and ascending ileum. By constructing an efferent limb using staples, a highly reliable continence mechanism is created. The absorbable staples reduce the operating time by about 1 hour and make the been operated on using these staples, and no problems with stones or infections have been encountered, with only 2 patients reporting fragments of staples in their urine.