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Pediatric urinary diversion: review and own experience
R Wammack1, M Fisch, R Hohenfellner
1Department of Urology, University of Mainz School of Medicine, FRG.
European Urology
|January 1, 1992
Summary
Continent urinary diversion is now preferred for children, offering improved outcomes and protecting kidney function. Permanent cutaneous diversion is rarely indicated, with temporary options reserved for severe cases.
Area of Science:
- Pediatric Urology
- Surgical Innovation
- Renal Function Preservation
Background:
- Childhood diseases and surgical advancements have reshaped urinary diversion strategies.
- Long-term follow-up data informs current practices in pediatric urinary diversion.
Purpose of the Study:
- To review contemporary strategies and controversies in childhood urinary diversion.
- To discuss indications, available procedures, and operative techniques for urinary diversion in children.
Main Methods:
- Literature review and analysis of clinical experience.
- Evaluation of contemporary strategies and surgical techniques for urinary diversion.
Main Results:
- Continent urinary diversion is the preferred method, enabling low-pressure reservoirs and continence.
- Permanent cutaneous urinary diversion has limited indications; temporary diversion is for critical conditions.
Conclusions:
- Modern urinary diversion techniques prioritize upper tract protection and continence.
- The shift towards continent diversion minimizes the need for permanent cutaneous diversion in pediatric patients.