Urinary diversion is a detour of the urinary tract. It may be necessary in different scenarios and can either be continent or incontinent, catheterisable or orthotopic. Pathological situations which may demand a urinary diversion are varied and include anatomical, physiological, congenital and traumatic causes, e.g. urethral stenosis and partial or complete urethral disruption; bladder dysfunct...

Long considered oncologically hazardous or functionally damaging, radical cystectomy with orthotopic urinary diversion is the accepted standard of care for invasive bladder cancer. A number of anatomical and clinical observations have come together to make orthotopic urinary diversion possible for female patients. Not only have these observations led to the development of an oncologically safe,...

BACKGROUND The use of bowel segments incorporated into the urinary tract is well established in urological surgery. OBJECTIVE To describe and compare the use of absorbable and nonabsorbable staples for creation of a urine reservoir after radical cystectomy. MATERIALS AND METHODS This review is based on a systematic Medline search assessing the period 1950-2010. RESULTS Use of the autosutu...

Prior to the introduction of the ileal conduit more than four decades ago, the options for urinary diversion after cystectomy were extremely limited. Direct cutaneous anastomoses of the collecting system (cutaneous pyelostomies, ureterostomies) offered patients a short-term diversion, but the benefits were outweighed by significant complications: recession or stenosis of the stoma. The first ch...

Muscle invasive and recurrent nonmuscle invasive bladder cancers have been traditionally treated with a radical cystectomy and urinary diversion. The urinary diversion is generally accomplished through the creation of an incontinent ileal conduit, continent catheterizable reservoir, or orthotopic neobladder utilizing small or large intestine. While radical extirpation of the bladder is often su...

OBJECTIVES Although valve ablation is the treatment of choice for patients with posterior urethral valves, debate continues as to the role of urinary diversion. We sought to retrospectively compare the clinical and radiologic outcomes between valve ablation and urinary diversion for patients with posterior urethral valves. METHODS We retrospectively reviewed the records of 50 consecutive pati...

Urinary diversion after cystectomy has been a historical standard for the treatment of numerous benign and malignant diseases bladder. Since first published description in early 1900s, improvements surgical technique better understanding metabolic sequelae postoperatively have greatly enhanced patient outcomes. Both continent incontinent diversions are available to patients cystectomy. In appro...

Bladder cancer is the second most common urologic cancer in the United States resulting in over 61,000 new cases in 2006 (American Cancer Society, 2006). Approximately 30% of all new cases present with muscle-invasive disease that requires a radical cystectomy and a urinary diversion for the best cure rate. Surgical options for a urinary diversion include an ileal conduit diversion or the forma...