Urinary diversion

TY - CHAP

T1 - Urinary diversion

AU - Omar, Kawa

AU - Khan, Nawal Shamim

AU - Shariat, Shahrokh F.

AU - Witjes, Johannes Alfred

AU - Khan, Muhammad Shamim

N1 - Publisher Copyright: © 2019 by John Wiley & Sons Ltd. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Urinary Diversions Urinary diversion involves rerouting of urinary drainage to outside of the body. These procedures can be performed either as a temporising measure or a permanent solution. The most common reason for a permanent urinary diversion is after ablative surgery for malignancy of the urinary bladder or other pelvic organs. However, it can be performed for functional and anatomical abnormalities of the urinary tract. Urinary diversions can be classified as percutaneous, continent, or incontinent. The majority of diversions involve incorporating a segment of bowel in to the urinary tract to either create a conduit or a reservoir. An ideal diversion is one with low pressure, no reflux in to the upper tract, spontaneous and controlled emptying, maintains body image, and is of no functional consequences. However, at present an ideal urinary diversion does not exist. Choice of a urinary diversion depends mainly on the underlying pathology, patient’s compliance and dexterity, renal function, presence of bowel disease, previous bowel surgery, and patient’s preference. All types of diversions have certain advantages and disadvantages. As most types of diversions include change in the body image and lifelong commitment to diversion care, patients need to be appropriately counselled prior to operations as to what the operation might entail. In addition, long-term monitoring of renal function and metabolic and nutritional status are required. In this chapter, we discuss common types of urinary diversion, indications, contraindications, and pros and cons of each.

AB - Urinary Diversions Urinary diversion involves rerouting of urinary drainage to outside of the body. These procedures can be performed either as a temporising measure or a permanent solution. The most common reason for a permanent urinary diversion is after ablative surgery for malignancy of the urinary bladder or other pelvic organs. However, it can be performed for functional and anatomical abnormalities of the urinary tract. Urinary diversions can be classified as percutaneous, continent, or incontinent. The majority of diversions involve incorporating a segment of bowel in to the urinary tract to either create a conduit or a reservoir. An ideal diversion is one with low pressure, no reflux in to the upper tract, spontaneous and controlled emptying, maintains body image, and is of no functional consequences. However, at present an ideal urinary diversion does not exist. Choice of a urinary diversion depends mainly on the underlying pathology, patient’s compliance and dexterity, renal function, presence of bowel disease, previous bowel surgery, and patient’s preference. All types of diversions have certain advantages and disadvantages. As most types of diversions include change in the body image and lifelong commitment to diversion care, patients need to be appropriately counselled prior to operations as to what the operation might entail. In addition, long-term monitoring of renal function and metabolic and nutritional status are required. In this chapter, we discuss common types of urinary diversion, indications, contraindications, and pros and cons of each.

KW - Bricker

KW - Continent or incontinent urinary diversions

KW - Cystostomy

KW - Ileal conduit

KW - Mainz II

KW - Mitrofanoff

KW - Nephrostomy

KW - Orthotopic bladder substitution

KW - Studer pouch

KW - Urinary diversions

KW - Wallace

UR - http://www.scopus.com/inward/record.url?scp=85101889751&partnerID=8YFLogxK

U2 - 10.1002/9781118863343.ch22

DO - 10.1002/9781118863343.ch22

M3 - Chapter

AN - SCOPUS:85101889751

SN - 9781118863374

SP - 447

EP - 464

BT - Blandy’s Urology

PB - WILEY-BLACKWELL

ER -