RT Book, Section A1 Konety, Badrinath R. A1 Barbour, Susan A1 Carroll, Peter R. A2 McAninch, Jack W. A2 Lue, Tom F. SR Print(0) ID 56946762 T1 Chapter 25. Urinary Diversion & Bladder Substitutions T2 Smith & Tanagho's General Urology, 18e YR 2013 FD 2013 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-162497-8 LK accessmedicine.mhmedical.com/content.aspx?aid=56946762 RD 2024/04/19 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. A decision is based on a patient's underlying disease and its 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.