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Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
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Urinary Tract Calculi V: Nursing Management

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Related Experiment Video

Updated: May 13, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

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Published on: January 7, 2019

Downstream complications following urinary diversion.

Scott M Gilbert1, Julie Lai, Christopher S Saigal

  • 1Department of Urology, College of Medicine, University of Florida, Gainesville, Florida 32610, USA.

The Journal of Urology
|March 19, 2013
PubMed
Summary
This summary is machine-generated.

Long-term complications are common after urinary diversion surgery, with over 16% of patients experiencing renal failure. Continent diversion increases risks of stones and fistulas, while ileal conduits are linked to ureteral obstruction.

Keywords:
complicationsurinary diversion

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Area of Science:

  • Urology
  • Surgical Oncology
  • Nephrology

Background:

  • Urinary diversion surgery is performed for various conditions, including bladder cancer and dysfunction.
  • Postoperative surveillance typically focuses on the immediate recovery period.
  • Long-term outcomes and complications after urinary diversion are not well-characterized.

Purpose of the Study:

  • To investigate the long-term medical and surgical complications following urinary diversion.
  • To assess the burden of healthcare utilization after different types of urinary diversion.
  • To compare complication rates across various urinary diversion techniques.

Main Methods:

  • Retrospective analysis of the 5% Medicare sample (1998-2005).
  • Inclusion of patients undergoing cutaneous/orthotopic continent diversion, ileal conduit, or other diversions.
  • Evaluation of complications at 2 and 5 years post-surgery, with a 1-year pre- and 2-year post-surgery claims window.

Main Results:

  • Over 16% of patients experienced renal failure or impairment post-urinary diversion.
  • Continent diversion was associated with higher rates of urolithiasis, wound complications, and fistulas at 5 years.
  • Ileal conduit diversion showed higher rates of ureteral obstruction and renal failure/impairment.

Conclusions:

  • Complications after urinary diversion are frequent and persist up to 5 years postoperatively.
  • Continent urinary diversion is linked to increased risks of urolithiasis and delayed wound issues.
  • Significant renal deterioration occurs in a substantial proportion of patients, necessitating rigorous long-term monitoring.