{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:36:51Z","timestamp":1745469411649,"version":"3.40.4"},"reference-count":8,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2011,1,1]],"date-time":"2011-01-01T00:00:00Z","timestamp":1293840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2011]]},"abstract":"<jats:p>Introduction: A sufficient and easily catheterizable continence mechanism is essential in continent cutaneous pouches. K\u00e4lble embedded a tapered ileum as efferent segment into a serosal lined tunnel formed by an ileal \u2018U\u2019 according to the principle of Abol-Enein and Ghoneim. We report a modified technique applied in a series of 12 patients who had undergone different urinary diversions. Methods: All patients received a modified K\u00e4lble procedure (first-line urinary diversion, n = 8; revision\/undiversion, n = 4) for different forms of continent pouches. To alleviate embedding of the efferent segment, ileal detubularization was performed asymmetrically. Mean follow-up was 9.5 months. Results: All patients were continent and performed self-catheterization easily. Of 12 patients, 2 underwent endoscopic incision for stomal stenosis 8 and 12 months postoperatively. Conclusions: Subject to our short follow-up, K\u00e4lble\u2019s technique is a promising alternative in patients undergoing a continent cutaneous urinary diversion but offers an inapplicable or missing appendix.<\/jats:p>","DOI":"10.1159\/000322961","type":"journal-article","created":{"date-parts":[[2011,4,19]],"date-time":"2011-04-19T10:36:45Z","timestamp":1303209405000},"page":"269-272","source":"Crossref","is-referenced-by-count":3,"title":["Evoluting the Invaginated \u2013 One Step Closer to the Perfect Valve Modified Serosal Lined Tapered Ileum (K\u00e4lble\u2019s Procedure) as a Continence Mechanism for Catheterizable Pouches"],"prefix":"10.1159","volume":"86","author":[{"given":"Guido","family":"Fechner","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Rogenhofer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Hauser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan C.","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2011,1,25]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016%2FS0022-5347%2805%2968230-4"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1159%2F000283043"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016%2FS0022-5347%2801%2964105-3"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.juro.2008.07.052"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016%2FS0022-5347%2801%2961769-5"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007%2FBF00182563"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007%2Fs00345-006-0078-y"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1464-410x.2001.02208.x"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/uin\/article-pdf\/86\/3\/269\/3924632\/000322961.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/uin\/article-pdf\/86\/3\/269\/3924632\/000322961.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T19:16:26Z","timestamp":1745435786000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000322961"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2011,4,1]]},"published-print":{"date-parts":[[2011,4,20]]}},"URL":"https:\/\/doi.org\/10.1159\/000322961","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"type":"print","value":"0042-1138"},{"type":"electronic","value":"1423-0399"}],"subject":[],"published":{"date-parts":[[2011]]}}}