禁制性迴腸尿路分流術為目前治療惡性膀胱腫瘤和神經性因膀胱機能障礙疾患之重要方法之一。一個合乎生理功能的代用膀胱應具備：低壓、高容積、不逆流、不失禁、不引起電解質失調等條件。而寇克氏囊不論從任何角度去評估，均是一種非常合乎理想的代用膀胱。本院在近兩年內總共施行了12例寇克密囊尿路分流術，其中兩例為”尿道性寇克氏囊”病人術後之寇克囊容積介於300至1200毫升之間，而囊內之平均壓力約為10公分水柱。有4例病人之禁制性造口失去功能，經手術後3例回復正常禁制功能。本系列之造口式尿路分流術之成功率高達90%，而病人於術後亦感到滿意。

10 continent ileal reservoirs (Kock pouch) and 2 appliance-free sphincter-controlled ileal neobladders were created for urinary diversion of various causes. The postoperative results were good when parameters such as reservoir capacity, intrareservoir pressure, efficiency of reflux prevention and continence of the stoma were evaluated for a period of 3-20 months. There were no perioperative mortality and late complication occurred in only 2 cases, although early revision rate for correction of stomal incontinence remained as high as 40%. The reservoir capacity ranged from 300-1200 ml. That requiring self-catheterization of 3-7 times at daytime and 3-5 times nocturnally. The mean intra-reservoir resting pressure was less than 10cm H2O with periodic phasic contraction of low amplitude. All except one were continent. The 2 patients receiving sphincter-controlled neobladder were continent diurnally although the capacity remained below 200 ml.