The term "W Pouch" is commonly used to describe a surgical technique utilized during gastric bypass surgeries. The spelling of this word can be explained using the International Phonetic Alphabet (IPA) as /dʌbəljuː pʊtʃ/. The letter "W" is pronounced as "double-u," hence the phonetic transcription "dʌbəljuː" with emphasis on the double "u." The word "pouch" is spelled as "pʊtʃ" in the IPA, with emphasis on the "p" and "ch" sounds. Overall, the term "W Pouch" is a specific medical term with a well-defined and easily understood spelling.
W Pouch is a surgical procedure performed in urology to create a reservoir for urine storage and facilitate urinary diversion. It involves the formation of a neobladder, shaped like the letter "W," using a segment of the small intestine. This technique is utilized when the bladder is removed or when maintaining bladder function is not possible due to diseases such as cancer or neurogenic bladder.
During the W Pouch procedure, a portion of the intestine is isolated and fashioned into a pouch-like reservoir, resembling the letter "W" in shape. The small bowel segment is then connected to the urethra or inserted into a stoma on the abdominal wall to create an alternate urine outlet. This allows for the accumulation and storage of urine, providing continence and potentially retaining some degree of voluntary voiding control.
The W Pouch technique aims to mimic the functional characteristics of the native bladder as closely as possible. The shape of the neo-bladder enables effective storage and emptying of urine, maintaining reasonable bladder capacity and pressure. Additionally, the procedure aims to improve the quality of life for patients by offering control over urinary functions and reducing the need for external urine collection devices.
The W Pouch procedure is typically performed in cases where reconstructive surgery of the bladder is required, ensuring that urinary function is achieved and risks associated with urine retention are minimized.