RT Book, Section
A1 Meng, Maxwell V.
A1 Barbour, Susan
A1 Carroll, Peter R.
A2 McAninch, Jack W.
A2 Lue, Tom F.
SR Print(0)
ID 1171180963
T1 Urinary Diversion and Bladder Substitutions
T2 Smith & Tanagho's General Urology, 19e
YR 2020
FD 2020
PB McGraw Hill
PP New York, NY
SN 9781259834332
LK accessmedicine.mhmedical.com/content.aspx?aid=1171180963
RD 2024/04/17
AB Selected  patients  with  lower  urinary  tract  cancers  or  severe  functional  or  anatomic  abnormalities  of  the  bladder  may  require  urinary  diversion.  Although  this  can  be  accomplished  by  establishing  direct  contact  between  the  urinary  tract  and  the  skin  surface,  it  is  most  often  performed  by  incorporating  various  intestinal  segments  into  the  urinary  tract.  Virtually  every  segment  of  the  gastrointestinal  tract  has  been  used  to  create  urinary  reservoirs  or  conduits.  No  single  technique  is  ideal  for  all  patients  and  clinical  situations.  The  decision  is  based  on  a  patient’s  underlying  disease  and  optimal  method  of  treatment  as  well  as  on  renal  function,  individual  anatomy,  and  personal  preference.  An  ideal  method  of  urinary  diversion  would  most  closely  approximate  the  normal  bladder;  it  would  be  nonrefluxing,  low-pressure,  continent,  and  nonabsorptive.