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Related Experiment Videos

Continent urinary diversion.

Fiona C Burkhard1, Thomas M Kessler, Rob Mills

  • 1Department of Urology, University of Bern, 3010 Bern, Switzerland.

Critical Reviews in Oncology/Hematology
|December 6, 2005
PubMed
Summary

Continent urinary diversion, particularly orthotopic bladder substitution, is a popular choice after bladder cancer surgery. It enhances survival and quality of life, offering a good alternative to urinary stomas.

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Area of Science:

  • Urology
  • Oncology
  • Surgical Innovation

Background:

  • Continent urinary diversion, including orthotopic bladder substitution, has gained popularity after radical cystectomy for bladder cancer.
  • Patient selection and surgical techniques significantly impact outcomes, including survival and quality of life.

Purpose of the Study:

  • To review the outcomes and considerations of continent urinary diversion techniques.
  • To highlight the importance of surgical technique, patient selection, and postoperative care.

Main Methods:

  • Review of current literature and surgical practices in continent urinary diversion.
  • Analysis of factors influencing functional results, continence, and metabolic consequences.

Main Results:

  • Nerve-sparing surgery improves sexual function and continence.
  • Intestinal segment length affects continence and metabolic outcomes.
  • Patient satisfaction and quality of life are comparable across diversion types and superior to urinary stomas.

Conclusions:

  • Continent urinary diversion provides a good quality of life with minimal long-term complications.
  • It is a suitable treatment option for most patients undergoing radical cystectomy, regardless of sex.

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